Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral radiographs of the chest demonstrate a moderate to large right - sided pleural effusion . Increased interstitial markings are present throughout the lungs , consistent with mild pulmonary edema . Poor aeration of the right base may be due to pleural effusion . A nodule is seen anterior to the spine on the lateral view . There is no pneumothorax or consolidation . The patient is status post dual - lead pacemaker placement , with leads ending in the right atrium and right ventricle . The heart is enlarged . Enlarged pulmonary vasculature suggests pulmonary artery hypertension .
    OUTPUT:
    
1 . Moderate to large right - sided pleural effusion and mild pulmonary edema . 2 . A nodule is seen anterior to the spine on the lateral view . Recommend follow - up with non-emergent CT of the chest once pulmonary edema has resolved . 3 . Poor aeration of the right base may be due to pleural effusion . Recommend follow - up once pulmonary edema has resolved . 4 . Enlarged pulmonary vasculature suggests pulmonary artery hypertension .