Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP upright chest radiograph was provided . Midline sternotomy wires , prosthetic cardiac valves , bilateral pacer PACS are again noted . The heart remains enlarged and there are bilateral pleural effusions which appear small - to - moderate in size . A poorly defined consolidation is noted in the right mid lung which could represent prominent bronchovasculature given patient 's rotation to the right . Mild pulmonary edema is likely present . Calcification in the left upper quadrant corresponds to a known splenic calcification .
    OUTPUT:
    
Cardiomegaly , probable mild edema with small - to - moderate bilateral pleural effusions .