Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . A tripolar pacer is again seen with lead tips extending to the right atrium , right ventricle and region of the coronary sinus . Midline sternotomy wires and mediastinal clips are again noted . There are tiny bilateral pleural effusions with mild interstitial pulmonary edema noted with hilar engorgement . The cardiomediastinal silhouette is stable . Bony structures are intact .
    OUTPUT:
    
Mild pulmonary edema with tiny pleural effusions .