Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest were provided . A right upper extremity PICC line is again seen with its tip residing at the level of the upper SVC . Midline sternotomy wires and mediastinal clips are again seen . There is an AICD with unchanged position and lead tips extending to the region of the right atrium and right ventricle . There is persistent cardiomegaly with mild - to - moderate pulmonary edema and bilateral small pleural effusions . No pneumothorax is seen . Hilar engorgement is unchanged . Mediastinal contour is stable . Calcification adjacent to the left of the trachea is chronic and could represent a calcified thyroid nodule or calcified lymph node . Bony structures are intact .
    OUTPUT:
    
Findings compatible with pulmonary edema . Small bilateral effusions also present .