Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lateral view is suboptimal due to patient positioning . Dual lead left - sided pacer device is stable in position . Bibasilar opacities are seen which may be due to pleural effusions and overlying atelectasis but consolidations are not excluded . There is prominence indistinctness of the central pulmonary vasculature suggesting congestion . The cardiac silhouette is not well assessed but appears enlarged . Mediastinal contours are stable .
    OUTPUT:
    
The lateral view is suboptimal due to patient positioning . Bibasilar opacities are seen which may be due to pleural effusions and overlying atelectasis but consolidations are not excluded . There is prominence indistinctness of the central pulmonary vasculature suggesting congestion . The cardiac silhouette is not well assessed but appears enlarged .