Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left chest wall dual lead pacemaker is present . Low bilateral lung volumes with diffuse but predominantly perihilar airspace opacities . Small bilateral pleural effusions are present . No pneumothorax identified . The appearance of the cardiac silhouette is unchanged .
    OUTPUT:
    
Diffuse but predominantly perihilar airspace opacities and bilateral pleural effusions are suggestive of pulmonary edema .