Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided AICD device is noted with lead terminating in the right ventricle , unchanged , with numerous epicardial leads again demonstrated as well as an abandoned pacer lead to the right atrium . Patient appears to be status post CABG . Severe cardiomegaly is re - demonstrated . Mediastinal contours are similar with tortuosity of thoracic aorta again noted and diffuse atherosclerotic calcifications . The hila are enlarged bilaterally suggestive of pulmonary arterial enlargement with mild pulmonary edema . Small bilateral pleural effusions are also demonstrated . No pneumothorax or focal consolidation is present . Moderate multilevel degenerative changes are seen throughout the thoracic spine .
    OUTPUT:
    
Mild pulmonary edema and small bilateral pleural effusions .