Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . Dual - lead left - sided pacemaker is again seen with leads extending to the expected positions of the right atrium and right ventricle , unchanged . There are significant perihilar and bibasilar opacities consistent with large bilateral pleural effusions as well as pulmonary edema . The cardiac silhouette is enlarged . The aorta is tortuous .
    OUTPUT:
    
Bilateral pleural effusions , pulmonary edema and cardiomegaly suggest CHF .