Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A pacer unit projects over the left chest with a lead in the coronary sinus . Severe cardiomegaly persists . Small bilateral pleural effusions are present with underlying atelectasis . There is no pneumothorax . Pulmonary edema is slightly worse .
    OUTPUT:
    
Stable cardiomegaly with small bilateral pleural effusions with associated atelectasis . Slightly worse pulmonary edema .