Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Mild cardiomegaly is unchanged with central pulmonary vascular congestion and trace interstitial edema . Hilar contours are unremarkable . There are small bilateral pleural effusions . There is no pneumothorax . Lungs are otherwise clear . Left anterior chest wall dual lead pacer is unchanged .
    OUTPUT:
    
Mild cardiomegaly with central pulmonary vascular congestion , mild interstitial edema and small bilateral pleural effusions .