Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided pacemaker device is noted with leads terminating in the right atrium and right right ventricle . The patient is status post median sternotomy and CABG . The heart is mildly enlarged . The aorta is slightly tortuous . There is mild to moderate pulmonary edema with probable trace bilateral pleural effusions . No pneumothorax is identified . There are no acute osseous abnormalities .
    OUTPUT:
    
Mild to moderate congestive heart failure with probable small bilateral pleural effusions .