Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . A again seen is an abandoned pacer lead overlying the right chest wall with lead extending to the right ventricle . There is a left chest wall pacer device with lead extending to the right ventricle . Midline sternotomy wires and mediastinal clips are noted . The heart is mildly enlarged and there is central hilar engorgement with cephalization suggesting mild congestion . No convincing evidence for pneumonia or pneumothorax . Tiny left pleural effusion is suspected . Bony structures are intact .
    OUTPUT:
    
Congestion and mild edema with tiny left pleural effusion .