Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest are compared to previous exam from ___ . There is blunting of the right costophrenic angle suggestive of an effusion . There is also likely a small left effusion as well . There is mild pulmonary edema . Significant cardiomegaly is again noted . Dual - lead pacing device is in unchanged position . No acute osseous abnormality is detected .
    OUTPUT:
    
Findings suggestive of congestive failure with bilateral right greater than left effusions . Please note particularly at the right lung base , superimposed infection can not be excluded .