Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-upright radiograph of the chest demonstrates indistinct pulmonary vasculature and scattered septal line , with probable bilateral pleural effusions , consistent with pulmonary edema . The cardiac silhouette is mildly enlarged . Mediastinal clips are noted . There are no sternotomy wires . The left - sided pacemaker is seen with 1 lead terminating in the right atrium and 1 lead terminating in the right ventricle . No definite consolidation is identified .
    OUTPUT:
    
Pulmonary edema , slightly progressed since recent examination .