Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright portable and lateral views of the chest were provided . Dual - lead pacemaker is unchanged . Midline sternotomy wires and mediastinal clips are again noted . There is normal heart size with small bilateral effusions and mild pulmonary edema . No pneumothorax is seen . Bony structures are intact .
    OUTPUT:
    
Mild edema with small bilateral pleural effusions .