Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided pacemaker device is noted with 2 leads noted , 1 terminating in the region the right atrium , and another appearing to be abandoned . Second pacemaker device is noted projecting over the right upper quadrant of the abdomen with leads projecting over the left and right ventricles , unchanged . Patient is status post median sternotomy and aortic valve replacement . Heart size remains severely enlarged . The mediastinal contour is unchanged . Mild pulmonary edema is slightly worse in the interval with mild increased moderate size right pleural effusion , a component which is loculated laterally . Small left pleural effusion is also noted , not substantially changed in the interval . Bibasilar atelectasis is seen . No pneumothorax is identified .
    OUTPUT:
    
Mild pulmonary edema , slightly worse in the interval with slight interval increase in size of moderate right pleural effusion which is partially loculated laterally . Relatively unchanged small left pleural effusion . Bibasilar atelectasis .