Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Right - sided cardiac pacing device with single lead following the expected course to the right ventricle . Median sternotomy wires are present . Mild cardiomegaly . Moderate bilateral pleural effusions and interstitial edema are minimally improved since ___ . No focal consolidation . No pneumothorax . Left rib fractures are chronic .
    OUTPUT:
    
Minimally improved bilateral effusions and pulmonary edema .