Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest provided . Pacemaker again seen projecting over the left chest wall with pacemaker leads extending into the right heart . The heart appears markedly enlarged with moderate pulmonary edema . Tiny effusions likely present . No pneumothorax . Mediastinal contour is stable with atherosclerotic calcification of the thoracic aorta . Diffuse spurring in the T - spine noted .
    OUTPUT:
    
Moderate pulmonary edema with small pleural effusions and cardiomegaly .