Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest were obtained . Dual - lead pacer is unchanged with a prosthetic cardiac valve . There is diffuse pulmonary edema with bilateral pleural effusions , significantly worse compared with prior study . Overall heart size is stable and mildly enlarged . Mediastinal contour is grossly stable . No pneumothorax is seen . Bony structures are intact .
    OUTPUT:
    
Pulmonary edema , new , with bilateral pleural effusions , also increased with stable cardiomegaly . Findings are compatible with cardiac decompensation .