Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is hilar engorgement in indistinct pulmonary vascular markings . Pleural effusions now moderate have increased since ___ . Cardiac silhouette is stable , left chest wall dual lead pacing device is again noted . No acute osseous abnormalities .
    OUTPUT:
    
Mild to moderate pulmonary edema with larger , now moderate bilateral pleural effusions .