Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is re- demonstration of moderate to severe cardiomegaly with mild on folding of a calcified thoracic aortic arch . There is re- demonstration of small bilateral pleural effusions with bibasilar atelectasis . There is mild interstitial pulmonary edema . There is no pleural effusion . The bones appear prominently demineralized . Left - sided dual lead pacer is unchanged .
    OUTPUT:
    
Moderate to severe cardiomegaly , small bilateral pleural effusions and mild interstitial pulmonary edema .