Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left - sided battery pack with pacemaker leads terminating in the right atrium and right ventricle are in unchanged position . There is moderate - to - severe cardiomegaly with pulmonary vascular engorgement , SVC engorgement and bilateral pulmonary opacities consistent with pulmonary edema and biventricular heart failure . There are bilateral pleural effusions , left greater than right as well .
    OUTPUT:
    
Cardiomegaly and pulmonary edema . No evidence of pneumonia .