Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient is status post median sternotomy and CABG . A left - sided AICD device is noted with leads in unchanged positions . Abandoned leads are also noted projecting over the left chest wall . Mild to moderate enlargement of the cardiac silhouette is re - demonstrated . Atherosclerotic calcifications are noted within the aorta which remains mildly tortuous . Mild pulmonary edema is slightly worse in the interval . There are trace bilateral pleural effusions . Streaky atelectasis is noted in the lung bases bilaterally . Assessment of the lung apices medially is obscured by the patient 's chin projecting over this area . There are moderate multilevel degenerative changes in the thoracic spine .
    OUTPUT:
    
Mild pulmonary edema , worse in the interval , with trace bilateral pleural effusions .