Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The left chest wall pacemaker defibrillator is in unchanged position . There is stable enlargement of the cardiac silhouette . Mild pulmonary edema is not significantly changed . There are moderate bilateral pleural effusions and associated atelectasis . No pneumothorax .
    OUTPUT:
    
Stable appearance of the chest with cardiomegaly , pulmonary edema and pleural effusions .