Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single frontal AP view of the chest provided demonstrates a dual - lead pacemaker with left chest wall pacer pack and dual leads seen extending into the region of the right atrium and right ventricle . Cardiomegaly is mild . There are diffuse parenchymal pulmonary opacities which are more confluent in the left upper and right lower lung which could represent pneumonia . There is likely underlying pulmonary edema . Small effusions likely present . The mediastinal contour appears grossly unremarkable . No pneumothorax . Bones are intact .
    OUTPUT:
    
Pulmonary edema with probable superimposed pneumonia .