Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest . Pulmonary vascular markings are indistinct , consistent with mild to moderate pulmonary edema . Moderate bilateral pleural effusions are similar to prior with adjacent opacities . Heart size and cardiomediastinal contours are stable . Leads of a left chest wall pacer are in stable position . Chronic left rib fractures are similar to prior .
    OUTPUT:
    
Mild to moderate pulmonary edema with moderate bilateral pleural effusions and adjacent opacities consistent with atelectasis , aspiration , or infection .