Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Dual - lead pacemaker projects over the right chest wall with leads extending to the region of the right atrium and right ventricle . The heart is mild to moderately enlarged with bilateral pleural effusions and bibasilar compressive atelectasis . The hila are mildly prominent , likely reflecting central congestion . There is no pneumothorax . Bony structures are intact .
    OUTPUT:
    
Mild edema with bilateral effusions and cardiomegaly as well as compressive lower lung atelectasis .