Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided AICD device is noted with leads terminating in the regions of the right atrium and right ventricle . Heart size remains severely enlarged , similar to the prior study . Moderate pulmonary edema is worse compared to the prior exam . The mediastinal and hilar contours are relatively unchanged . More focal opacities in the lower lobes may reflect atelectasis . Probable trace bilateral pleural effusions are noted . Assessment of the lung apices is obscured by the patient 's neck and chin projecting over these regions , but no large pneumothorax is identified .
    OUTPUT:
    
Moderate pulmonary edema with small bilateral pleural effusions . More focal opacities in the lung bases likely reflect areas of atelectasis .