Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . There is a tripolar pacer with lead tips extending into the right atrium and right ventricle . Midline sternotomy wires and mediastinal clips are noted . There are small bilateral pleural effusions with mild interstitial edema . Heart is mildly enlarged . Aortic calcifications are present . Central hilar engorgement is noted . Bony structures are intact . No pneumothorax .
    OUTPUT:
    
Mild pulmonary interstitial edema with small bilateral effusions .