Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated . There are bibasilar opacities with blunting of the posterior and lateral costophrenic angles , new since prior . The cardiac silhouette is enlarged as on prior . Left chest wall single lead single lead pacing device and right PICC are noted . Atherosclerotic calcifications of the aortic arch . Compression deformity in the lower thoracic / upper lumbar region was present on prior .
    OUTPUT:
    
Cardiomegaly with mild pulmonary edema and small bilateral effusions .