Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are bilateral parenchymal opacities and small left greater than right pleural effusions . Cardiac silhouette is enlarged but stable in configuration . Median sternotomy wires and mediastinal clips are noted . Left chest wall single - lead pacing device seen with lead tip in the right ventricular apex .
    OUTPUT:
    
Congestive failure with moderate pulmonary edema and small bilateral effusions .