Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The left - sided dual lead pacemaker / ICD cardiac device is unchanged in position with one lead terminating in the right atrium and the other in the right ventricle . The lung apices can not be fully assessed due to flexion of the patient 's chin . Moderate pulmonary edema , increased from the prior exam . No pleural effusion , focal consolidation to suggest pneumonia , or pneumothorax . Stable top - normal heart size . Stable slightly tortuous descending aorta .
    OUTPUT:
    
Moderate pulmonary edema . No pleural effusions .