Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Left chest wall AICD again noted with single lead extending into the region of the right ventricle . A prosthetic cardiac valve and midline sternotomy wires are noted . The heart is enlarged in the interval . The aorta appears unfolded . There are small bilateral pleural effusions . Hilar engorgement is noted with mild interstitial pulmonary edema . No focal consolidation to suggest pneumonia . No pneumothorax .
    OUTPUT:
    
Cardiomegaly , new from prior with hilar congestion and mild interstitial edema . Small bilateral pleural effusions .