Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest provided . Left chest wall pacer device is again seen with leads extending to the region the right atrium and right ventricle . There is cardiomegaly again noted with hilar congestion and moderate pulmonary edema . No large effusion or pneumothorax . No convincing signs of pneumonia . Aortic calcifications are present . Trace pleural effusions are suspected . Bony structures are intact . No free air below the right hemidiaphragm .
    OUTPUT:
    
Mild cardiomegaly with moderate pulmonary edema , trace pleural effusions .