Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval placement of a left upper chest pacer device with dual leads projecting over the right atrium and right ventricle . There is stable appearance of median sternotomy wires . There has been interval placement of an ET tube with its tip seen projecting 6 .5 cm above the carina . There is a right IJ introducer seen in stable position . There is slight interval worsening in pulmonary edema and bilateral pleural effusions . There is no pneumothorax . Cardiomediastinal silhouette is unchanged .
    OUTPUT:
    
Slightly worse pulmonary edema and bilateral effusions .