Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable frontal chest radiograph demonstrates interval increase in bilateral , now moderate pleural effusions . There is only minimal pulmonary edema , improved from ___ . The cardiac silhouette is not well evaluated , but is enlarged . There is calcification of the aortic knob . There is no pneumothorax . A left pectoral pacemaker is unchanged in appearance , with leads widely looped in the right heart .
    OUTPUT:
    
Moderate bilateral pleural effusions , increased from ___ , with improved pulmonary edema .