Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Midline sternotomy wires , mediastinal clips and left chest wall pacer device again noted with dual leads extending to the region of the right atrium and right ventricle . Top normal heart size is again noted with mild pulmonary edema , similar to slightly progressed from prior exam . There is mild basilar atelectasis . Small bilateral pleural effusions are evident on the lateral projection . There is no pneumothorax . Mediastinal contour is stable . Atherosclerotic calcifications along the thoracic aorta at the arch noted . Bony structures appear intact . No free air below the right hemidiaphragm .
    OUTPUT:
    
Mild cardiomegaly with mild pulmonary edema and small bilateral pleural effusions .