Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette is mildly enlarged . A left - sided dual lead pacemaker is in stable position . Again noted is bilateral , diffuse opacity with improvement since most recent examination . No definite , new focal consolidation is identified . Possible , small bilateral pleural effusions are present .
    OUTPUT:
    
Improvement in pulmonary edema .