Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest provided . Midline sternotomy wires again noted . There is a left chest wall pacer device again noted with leads extending to the region the right atrium right ventricle and coronaries sinus . Cardiomegaly is again noted with hilar congestion . There is mild interstitial pulmonary edema with likely small bilateral pleural effusions . No convincing evidence for pneumonia . No pneumothorax . Aortic calcification again noted . Bony structures appear grossly intact .
    OUTPUT:
    
Cardiomegaly with hilar congestion , mild interstitial edema and small bilateral pleural effusions .