Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral images of the chest . A pacemaker is seen overlying the left chest with intact leads in appropriate position . The lungs are hyperinflated . There is mild pulmonary edema , which is much less severe than the edema present on prior exam . Bilateral small pleural effusions are seen . There is no pneumothorax . The heart is top normal is size , similar to prior exams .
    OUTPUT:
    
1 . Mild pulmonary edema , much less severe than what was seen on prior exam . 2 . Small bilateral pleural effusions .