Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: LEFT - SIDED PACEMAKER IS IN PLACE , WITH LEAD TIPS OVER THE RIGHT ATRIUM AND RIGHT VENTRICLE . THERE ARE LOW INSPIRATORY VOLUMES . THE CARDIOMEDIASTINAL SILHOUETTE IS PROMINENT , PARTIALLY OBSCURED BY EFFUSIONS . THE HILA ARE PROMINENT BILATERALLY . THERE IS UPPER ZONE REDISTRIBUTION , DIFFUSE VASCULAR BLURRING , INTERSTITIAL EDEMA , AND AREAS OF ALVEOLAR EDEMA . THERE ARE SMALL TO MODERATE BILATERAL EFFUSIONS WITH UNDERLYING COLLAPSE AND / OR CONSOLIDATION . CLIPS NOTED IN THE RIGHT AXILLA .
    OUTPUT:
    
PULMONARY EDEMA WITH SMALL TO MODERATE BILATERAL EFFUSIONS AND UNDERLYING COLLAPSE AND / OR CONSOLIDATION . COMPARED WITH ___ THE APPEARANCE IS SIMILAR .