Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Motion degradation on the lateral view limits assesment . The cardiomediastinal and hilar contours are unchanged with mild cardiomegaly . A left pacemaker defibrillator is present with tips terminating in the right atrium and right ventricle as expected . There are small bilateral pleural effusions and pulmonary vascular congestion , similar compared to the most recent prior study . There is no pneumothorax .
    OUTPUT:
    
Stable mild pulmonary vascular congestion with small pleural effusions .