Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided dual - lead pacemaker device is noted with leads in the right atrium and right ventricle . Surgical clip is noted within the left upper quadrant . Bilateral low lung volumes are noted with crowding of bronchovascular markings . Heart is moderately enlarged . Small bilateral pleural effusions are noted with no evidence of pneumothorax . Mild pulmonary vascular engorgement is present . A moderate to large hiatal hernia is identified .
    OUTPUT:
    
1 . Small bilateral pleural effusions and mild pulmonary edema . 2 . Moderate - to - large hiatal hernia .