Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-upright chest radiograph was obtained . AICD device is unchanged with tip extending into the expected location of the right atrium and right ventricle . Midline sternotomy wires and multiple mediastinal clips are again noted . Diffuse pulmonary ground - glass opacities are most likely secondary to pulmonary edema . There is a small right pleural effusion . A tiny left pleural effusion can not be entirely excluded . Cardiomegaly is stable . No pneumothorax . Bony structures appear intact .
    OUTPUT:
    
Pulmonary edema with small bilateral pleural effusions and cardiomegaly .