Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest provided . Cardiomegaly is noted with hilar congestion and mild pulmonary edema . Left chest wall pacer device with single lead extending into the region of the right ventricle noted . There is a small left pleural effusion . No pneumothorax . Bony structures are intact .
    OUTPUT:
    
Cardiomegaly with left pleural effusion and mild edema .