Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral portable upright views of the chest provided . Dual - lead pacer is unchanged in position . There are large bilateral pleural effusions , with associated pulmonary edema and lower lobe atelectasis . No pneumothorax is seen . Bony structures appear demineralized , though stable .
    OUTPUT:
    
Pulmonary edema with bilateral pleural effusions .