Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Two - view chest provided . Dual lead pacer again noted as are midline sternotomy wires . Cardiomegaly is re - demonstrated with small bilateral pleural effusions and moderate pulmonary edema . Difficult to exclude a superimposed pneumonia .
    OUTPUT:
    
Moderate pulmonary edema , bilateral small pleural effusions and cardiomegaly .