Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is large right M moderate left bilateral pleural effusions . There is moderate to severe pulmonary edema . Bibasilar opacities are likely combination of pleural effusions and atelectasis but underlying consolidation can not be excluded . Cardiac silhouette size is difficult to assess due to bibasilar opacities . Dual lead left - sided pacemaker is noted . No pneumothorax is seen .
    OUTPUT:
    
Bilateral pleural effusions and moderate to severe pulmonary edema .