Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left - sided single lead pacemaker appears in adequate position with the lead terminating in the right ventricle . There is mild - to - moderate pulmonary edema . Bilateral pleural effusions , however difficult to evaluate due to overlying soft tissues . No focal consolidation or pneumothorax identified .
    OUTPUT:
    
Cardiomegaly with moderate pulmonary edema . Infectious process in the lung bases can be obscured by the edema . Re-assessment after diuresis is required