Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest . Compared to prior , the bilateral pleural effusions have decreased in size . Indistinct pulmonary vascular markings without consolidation . Cardiac silhouette is enlarged as on prior . Atherosclerotic calcifications noted at the aortic arch . Left chest wall dual - lead pacing device is seen . Degenerative changes again noted at the left shoulder .
    OUTPUT:
    
Decrease in size of bilateral pleural effusions compared to prior . Mild pulmonary edema .