Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ICD with biventricular pacing lead remains in place . Stable cardiomegaly accompanied by pulmonary vascular congestion and new interstitial edema , superimposed upon chronic areas of linear scar in the mid and lower lungs . Lungs are overinflated , suggestive of COPD . Small pleural effusions are present bilaterally . Bones are diffusely demineralized .
    OUTPUT:
    
1 . Congestive heart failure with interstitial edema and small pleural effusions . 2 . Hyperinflated lungs , in keeping with known emphysema on prior CT chest of ___ .