Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A biventricular pacemaker is noted to be in place with leads identified in the right atrium and right ventricle . There has been interval improvement in the patient 's now mild interstitial pulmonary edema . There is stable , moderate cardiomegaly . Moderate bilateral pleural effusions are seen . There is no focal consolidation or pneumothorax identified . The mediastinal contours are normal .
    OUTPUT:
    
Biventricular pacemaker with leads identified in the right atrium and right ventricle . Moderate bilateral pleural effusions .