Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right pectoral pacemaker is unchanged with dual leads terminating in the right atrium and right ventricle , unchanged . The cardiac silhouette is incompletely evaluated due to decreased lung volumes and bibasilar opacities but appears mildly enlarged , as before . The thoracic aorta remains mildly tortuous . There is decreased expansion at the lungs compared with the most recent prior study with decreased aeration at the bilateral lung bases . There is blunting of the bilateral costophrenic angles and opacification at the left lower lobe compatible with small - to - moderate bilateral pleural effusions with underlying atelectasis and associated volume loss . Fluid is also noted in the major fissure on the lateral view . Increased interstitial lung markings indicate mild pulmonary edema . No pneumothorax is seen . There is unchanged loss of height at the T11 vertebral body , seen on prior exams .
    OUTPUT:
    
Mild interstitial pulmonary edema , small - to - moderate bilateral pleural effusions and underlying bibasilar atelectasis , all new compared to ___ .