Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Left chest wall pacer device is noted with leads extending to the region of the right atrium and right ventricle . There are small bilateral pleural effusions . Hilar congestion is noted with mild interstitial pulmonary edema . No pneumothorax . Cardiomediastinal silhouette is unchanged . Bony structures are intact .
    OUTPUT:
    
Mild cardiomegaly , small pleural effusions and mild pulmonary edema .