Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is moderate cardiomegaly with left - sided pacer leads in appropriate position . There is mild pulmonary vascular congestion ; otherwise , the hilar and mediastinal contours are unremarkable . There is diffuse mild - to - moderate pulmonary edema as well as small bilateral pleural effusions . There is no evidence of a pneumothorax . The visualized osseous structures are unremarkable .
    OUTPUT:
    
Mild - to - moderate pulmonary edema . Small bilateral pleural effusions .