Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart remains enlarged in size . There are new bilateral pleural effusions and moderate pulmonary edema . Worsening retrocardiac opacity persists and may represent atelectasis or pneumonia in the correct clinical setting . Single lead pacemaker defibrillator is present with tip terminating in the right ventricle . A catheter is seen projecting over the lower left hemithorax .
    OUTPUT:
    
New bilateral pleural effusions and moderate pulmonary edema . Left retrocardiac opacity may reflect atelectasis or pneumonia in the correct clinical setting .