Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided pacer device is noted with single lead terminating in the region of the right ventricle . Moderate cardiomegaly is present . Marked mitral annular calcifications are seen . The aorta is diffusely calcified . Mild upper zone vascular redistribution and perihilar haziness suggests mild pulmonary edema . Large right and small left bilateral pleural effusions are noted with associated compressive bibasilar atelectasis . Ring like opacities projecting over the right hilum may reflect bronchiectasis . Additionally the lungs appear hyperinflated which is supportive of underlying chronic obstructive pulmonary disease . No pneumothorax is detected . There are no acute osseous abnormalities .
    OUTPUT:
    
Mild pulmonary edema with large right and small left bilateral pleural effusions . Associated bibasilar atelectasis .