Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Dual lead left - sided pacemaker is seen with leads extending to the expected positions of the right atrium and right ventricle . There are small bilateral pleural effusions . There is moderate to severe pulmonary edema . For cough and right greater than left basilar opacities may be due to combination of pleural effusion , atelectasis , and pulmonary edema , however underlying consolidation is not excluded . The cardiac silhouette severely enlarged . The aorta is calcified .
    OUTPUT:
    
Small bilateral pleural effusions , moderate to severe pulmonary edema , and marked cardiomegaly suggest CHF . More confluent opacities at the right greater than left lung bases may be due to combination of the above , however , underlying consolidation not excluded .