Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Semi upright portable AP view of the chest was provided . Overlying external pacing wire is present . Cardiomegaly is noted with diffuse pulmonary edema and bilateral pleural effusions . No pneumothorax is seen . Bony structures are intact .
    OUTPUT:
    
Pulmonary edema , cardiomegaly and small bilateral effusions .