Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A pacemaker / AICD generator overlies the left chest wall . The leads appear intact and in standard position within the right atrium , right ventricle , and coronary sinus . There are diffuse bilateral opacities with perihilar indistinctness and cardiac enlargement , findings compatible with moderate pulmonary edema . Evaluation for pleural effusion is limited due to the overlying pacer generator and the single portable view , though a small right pleural effusion is noted . No confluent consolidation is identified . There is no pneumothorax .
    OUTPUT:
    
Moderate congestive heart failure and small right pleural effusion . Assessment for a left pleural effusion is limited by the presence of an overlying pacer / AICD generator .