Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable frontal radiograph of the chest demonstrates moderate enlargement of the cardiac silhouette . A right internal jugular dual lumen catheter ends in the upper right atrium . A right chest wall pacemaker is present with leads in the expected position . There is moderate pulmonary edema with likely small bilateral pleural effusions . No pneumothorax . Median sternotomy wires appear intact .
    OUTPUT:
    
Moderate cardiomegaly with pulmonary edema and likely small bilateral pleural effusions .