Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left anterior chest wall dual lead pacer is unchanged . Median sternotomy wires are intact . Moderate cardiomegaly is unchanged with unfolding of the thoracic aortic arch . Aortic knob calcifications are unchanged . There is mild pulmonary vascular congestion . There are moderate bilateral pleural effusions with bibasilar atelectasis . There is no pneumothorax .
    OUTPUT:
    
Moderate cardiomegaly with pulmonary vascular congestion and moderate right greater than left pleural effusions .