Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right chest wall pulse generator is in place , with unchanged position of 3 pacer / defibrillator leads . Mediastinal clips and median sternotomy wires are present , with fracture of the superior most 2 wires . The heart is mildly enlarged . Moderate bilateral pleural effusions are noted , with peribronchial cuffing , and pulmonary vasculature bilaterally , compatible with mild pulmonary edema . There is no pneumothorax or focal consolidation . There are most likely post-radiation changes see along the mediastinum bilaterally
    OUTPUT:
    
Moderate bilateral pleural effusions and mild pulmonary edema .