Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are low . Again seen is a left - sided 2 lead pacemaker with the leads terminating in the right atrium and ventricle . There appears to be more pronounced right perihilar prominence than on prior examinations , which in the appropriate clinical context , may represent asymmetric pulmonary edema or perihilar infiltrate . The cardiac silhouette is mildly enlarged . Small bilateral pleural effusions are present . There is no pneumothorax .
    OUTPUT:
    
Mild cardiomegaly with pulmonary vascular congestion and small bilateral pleural effusions . Right perihilar prominence may represent mild asymmetric edema , localized aspiration , or early infectious pneumonia . Follow - up imaging after diuresis can be obtained for further evaluation if warranted clinically .