Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral chest radiographs were obtained . There is increased hilar fullness and interstitial markings bilaterally . There is a right lower lobe opacity . There is a large right and moderate left pleural effusion . The mediastinum is widened . Dual - chamber pacing leads project over stable position .
    OUTPUT:
    
Moderate pulmonary edema , large right and moderate left pleural effusions . There might be an additional component of consolidation in the right lower lobe .