Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post sternotomy . A dual - lead pacemaker / ICD device appears unchanged . The heart is moderately enlarged . The aortic arch is calcified . There is perihilar haziness which is worse than on the prior study with probable pleural effusions , likely small or small - to - moderate in size . Findings are consistent with pulmonary edema .
    OUTPUT:
    
Findings consistent with pulmonary edema . Bilateral pleural effusions .