Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . The pacer position is unchanged with intact appearance of three leads . The heart remains enlarged with pulmonary edema again noted . There are small bilateral pleural effusions . Hilar congestion is noted . No pneumothorax . Bony structure is intact .
    OUTPUT:
    
Pulmonary edema with tiny bilateral effusions and stable cardiomegaly .