Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left - sided single lead pacemaker with a right ventricular lead is in unchanged position . There is mild pulmonary edema . There are small bilateral pleural effusions , right worse than left . The heart is mildly enlarged . There is no pneumothorax . There is no focal consolidation concerning for pneumonia . Vague opacity adjacent to the pacemaker mentioned on the prior chest radiograph is likely still present and somewhat obscured secondary to increased vascular congestion .
    OUTPUT:
    
1 . Mild pulmonary edema and bilateral small pleural effusions . 2 . Vague opacity seen on prior chest radiograph is likely still present and somewhat obscured secondary to increased vascular congestion . As was previously recommended , this can be evaluated with a CT on a nonemergent basis upon resolution of acute symptoms .