Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette is indistinct . Hazy perihilar opacities and ill - defined pulmonary vascular markings are consistent with pulmonary edema . Blunting of the costophrenic angles and basilar opacities are compatible with moderate - sized pleural effusions and bibasilar atelectasis . Narrowing of the right acromiohumeral interval is consistent with rotator cuff injury . Deformity of the distal right clavicle is compatible with a prior injury at this location . Leads of a right chest wall pacer terminate over the right atrium and ventricle .
    OUTPUT:
    
Pulmonary edema with moderate - sized bilateral pleural effusions and atelectasis .