Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Low lung volumes with moderate cardiomegaly , sub pulmonary vascular congestion , and mild interstitial pulmonary edema . There are probable small bilateral pleural effusions with adjacent atelectasis , left greater than right . The upper lung zones are grossly clear . No pneumothorax . Dual lead left pacemaker is unchanged in position .
    OUTPUT:
    
Cardiomegaly , mild interstitial pulmonary edema , and probable small bilateral pleural effusions with adjacent atelectasis .