Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided large - bore central venous catheter is again seen terminating in the right atrium . Dual lead right - sided pacemaker is stable in position . There is persistent blunting of the bilateral costophrenic angles suggesting trace pleural effusions with overlying atelectasis . Perihilar opacities are consistent with pulmonary edema which appear grossly stable to possibly minimally decreased as compared to the prior study . The cardiac silhouette remains enlarged . The aorta is calcified .
    OUTPUT:
    
Small bilateral pleural effusions again seen . Pulmonary edema which may be slightly improved since the prior study . Persistent cardiomegaly .