FINDINGS:
PA and lateral views of the chest are provided.  Pacemaker projects
 over the left chest wall with lead tips extending to the right atrium, right
 ventricle, and coronary sinus.  There is diffuse interstitial edema with small
 bilateral effusions and no definite signs of pneumonia.  No pneumothorax. 
 Cardiomediastinal silhouette appears stable.  Bony structures are intact.

IMPRESSION:
Findings compatible with interstitial pulmonary edema with small
 bilateral pleural effusions.  Please refer to subsequent CT for further
 details.