Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP semi upright and lateral views of the chest provided . There is a left chest wall AICD again noted with lead extending into the region of the right ventricle . The heart remains mildly enlarged . The hila are congested and there is mild to moderate pulmonary edema . Overall extent of edema appears slightly less than that seen on prior radiograph . No large effusion or pneumothorax . Bony structures are intact . Small pleural effusions are present .
    OUTPUT:
    
Mild to moderate pulmonary edema . Small pleural effusions .