Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An endovascular aortic valve repair is noted in addition to a dual - lead pacemaker / ICD device . The heart is again enlarged . The cardiac , mediastinal and hilar contours appear similar . In addition to small to moderate bilateral pleural effusions , which are probably unchanged , there is increased prominence of pulmonary vasculature . This suggests mild but worsening pulmonary edema . Multiple vertebroplasty sites are again noted .
    OUTPUT:
    
Mild but worsening pulmonary edema . Stable moderate pleural effusions .