Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The left sided dual - chamber pacemaker / AICD device is noted with leads terminating in the right atrium and right ventricle . A right PICC is noted which terminates in the SVC / right atrial junction . The heart remains moderately enlarged but stable . The mediastinal contours are unchanged . There is mild pulmonary vascular congestion . Small bilateral pleural effusions , right greater than left are not significantly changed in the interval . No new areas of consolidation are present , and there is no pneumothorax . Diffuse demineralization the osseous structures is noted with unchanged compression deformities of several mid thoracic vertebral bodies .
    OUTPUT:
    
Mild pulmonary vascular congestion and small bilateral pleural effusions , right greater than left .