Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . Dual - lead right - sided pacer device is again seen with leads extending to the expected positions of the right atrium and right ventricle . Pulmonary edema persists , although appears somewhat improved since the prior study . There are likely small bilateral pleural effusions . Cardiac silhouette is slightly less prominent which may be due to differences in technique and patient position .
    OUTPUT:
    
Moderate interstitial edema , decreased since the prior study . Small bilateral pleural effusions .