Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided pacer device is noted with leads terminating in the right atrium and right ventricle . Moderate cardiomegaly is present . The aorta is mildly tortuous . Mild upper zone vascular redistribution is present without overt pulmonary edema . Streaky right basilar opacities may reflect atelectasis , however infection can not be completely excluded . Minimal blunting of the costophrenic angles bilaterally could be due to pleural thickening or trace bilateral pleural effusions . No pneumothorax or focal consolidation is present . There are mild degenerative changes noted in the thoracic spine . Orthopedic hardware within the region of the right shoulder is not completely imaged on this examination . Remote right - sided rib fracture is demonstrated .
    OUTPUT:
    
Mild pulmonary vascular congestion with possible trace bilateral pleural effusions . Patchy right basilar opacity , possibly atelectasis but infection is not completely excluded .