Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is mild to moderate cardiomegaly . The mediastinal and hilar contours are unremarkable . There are small bilateral pleural effusions . Pulmonary vasculature is again noted to be slightly engorged , especially at the lung bases . The left axillary pacer is present with tip terminating in the right atrium right ventricle as expected .
    OUTPUT:
    
Small bilateral pleural effusions with vascular engorgement . No obvious pneumonia .