Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A dual - lead pacemaker / ICD device is in place with leads again terminating in the right atrium and ventricle , respectively . The patient is status post sternotomy . The heart appears mildly enlarged . The aortic arch is calcified . The mediastinal and hilar contours appear stable . There are small bilateral pleural effusions , greater on the right than left , in addition to indistinct pulmonary vasculature and a moderate interstitial abnormality , findings suggesting congestive heart failure .
    OUTPUT:
    
Findings suggesting mild - to - moderate pulmonary edema with pleural effusions .