Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Dual lead pacer is again seen with leads extending to the region the right atrium and right ventricle . There is mild cardiomegaly with moderate pulmonary edema . No large effusions or pneumothorax seen . Bony structures intact . No free air below the right hemidiaphragm .
    OUTPUT:
    
Mild cardiomegaly and moderate pulmonary edema .