Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single lead pacer is unchanged in position with persistent looping of the distal lead for terminating in the right ventricle . Heart is moderately enlarged and accompanied by upper some vascular redistribution and mild interstitial edema . Small pleural effusions are present bilaterally . Bones are diffusely demineralized and an apparent bone island is noted overlying the upper thoracic spine , more fully characterized on recent CT of ___ and similar compared to older chest x-ray ___ . Note is made of diffuse vascular calcifications throughout the thoracic abdominal aorta . The patient is status post right mastectomy and axillary lymph node dissection
    OUTPUT:
    
Congestive heart failure with interstitial edema and small pleural effusions appear