Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest provided . Left chest wall pacer device is again seen with leads extending to the region the right atrium and right ventricle . An aortic core valve is again seen . The heart size appears grossly stable though partially obscured . Low lung volumes limits assessment . There are bilateral pleural effusions , left greater than right , similar to prior . Hilar congestion is noted . Mild interstitial edema is difficult to exclude . Aortic calcifications noted . No pneumothorax . Bony structures are intact though degenerative changes at the shoulders noted with calcific densities projecting over the right scapular neck .
    OUTPUT:
    
Congestion with mild edema with bilateral pleural effusions , left greater than right .