Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are bilateral small pleural effusions , left greater than right , possibly increased from prior exam . Adjacent atelectasis is noted in the bilateral lower lobes . The heart is moderately enlarged , increased from prior exam . There is mild pulmonary edema . A new cardiac pacing device has its leads appropriate position over the right atrium and ventricle . No focal consolidation is seen .
    OUTPUT:
    
Congestive heart failure with moderate cardiomegaly , mild pulmonary edema and bilateral pleural effusions .