Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette is at least mild to moderately enlarged . Lung volumes are low with increased bibasilar opacities , particularly with a new peripheral right lower lobe opacity that is likely atelectatic . There is a right - sided pleural effusion . A left pectoral pacer is placed with unchanged position of leads . There is no pneumothorax .
    OUTPUT:
    
Mild pulmonary edema with right pleural effusion . Bibasilar opacities with peripheral right lower lobe opacity which is likely atelectatic , however , infection can not be excluded given the appropriate clinical setting .