Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable upright chest radiograph ___ at 03 :59 is submitted .
    OUTPUT:
    
Dual lead left - sided pacer remains in place with the leads terminating over the expected location of the right atrium and right ventricle , respectively . The heart remains enlarged . There is bilateral airspace process with increasing consolidative component at both bases . This could reflect worsening pulmonary edema or infection / aspiration . Clinical correlation is recommended . There are likely layering bilateral effusions , right greater than left . No pneumothorax .