Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest provided . Dual lead pacemaker is unchanged in position with leads extending to the region the right atrium and right ventricle . Midline sternotomy wires and mediastinal clips are again noted . There is mild pulmonary edema with small bilateral pleural effusions . Heart size is top - normal contours unremarkable . No pneumothorax . No acute osseous abnormalities .
    OUTPUT:
    
Mild pulmonary edema with small bilateral pleural effusions .