Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided demonstrate AICD device in the left chest wall with lead tips extending into the expected location of the right atrium and right ventricle . Lungs appear clear aside from mild opacity in the posterior costophrenic recess which could represent small effusion . The cardiomediastinal silhouette appears grossly unremarkable . There is mild hilar congestion which could indicate mild edema . Bony structures intact .
    OUTPUT:
    
Mild pulmonary vascular congestion and small bilateral pleural effusions .