Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . Dual - lead left - sided pacemaker is again seen , unchanged in position . Elevation of the left hemidiaphragm persists . There is obscuration of both hemidiaphragms which may be due to pleural effusions with overlying atelectasis , underlying consolidation is not excluded . There is mild pulmonary edema . The cardiac silhouette remains enlarged . Mediastinal contours are grossly stable .
    OUTPUT:
    
Enlarged cardiac silhouette , bilateral pleural effusions with overlying atelectasis and pulmonary edema suggest heart failure . Underlying consolidation at the lung bases is not excluded .