Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . Cardiomegaly is again noted with diffuse ground - glass opacities within the lungs concerning for pulmonary edema . Small bilateral pleural effusions are likely present . Dual lead pacer is unchanged with leads extending to the region of the right atrium and right ventricle . A right shoulder arthroplasty is noted . Degenerative changes are notable at the left shoulder .
    OUTPUT:
    
Cardiomegaly , pulmonary edema , with probable small pleural effusions .