Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a three - lead pacemaker / ICD device with leads terminating in the right atrium and ventricle , respectively , as well as a third lead in the coronary sinus . The heart appears again mild - to - moderately enlarged . There is bilateral perihilar enlargement with indistinctness central pulmonary vasculature . Heterogeneous opacities seem to affect both lower lungs . Lateral views suggest trace pleural effusions . Fissures are also thickened . Bony structures are unremarkable .
    OUTPUT:
    
Findings suggesting pulmonary edema . Coinciding pneumonia is difficult to exclude , particularly at the right lung base ; correlation with clinical presentation is recommended .