Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a right pectoral cardiac device with its leads in stable position projecting over the right atrium , right ventricle and left ventricle . The cardiac silhouette continues to be enlarged , and there is a left retrocardiac opacity , reflecting atelectasis and / or pleural effusion . Lower lobe opacities reflect worsening edema . There are surgical clips along the right neck .
    OUTPUT:
    
1 . SEVERE Cardiomegaly with a cardiac device and its leads in stable position . 2 . Mild edema . NEW LEFT LOWER LOBE ATELECTASIS AND / OR PLEURAL EFFUSION .