Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left pectoral pacemaker with dual leads ending in the right atrium and right ventricle is unchanged . The lungs are hyperexpanded with flattening of the bilateral hemidiaphragms , compatible with COPD . Small bilateral pleural effusions are unchanged . There is increased pulmonary vascular congestion from ___ with mild interstitial pulmonary edema . Streaky opacities in the bilateral lung bases likely reflect atelectasis . The cardiomediastinal and hilar contours are within normal limits .
    OUTPUT:
    
1 . Increased pulmonary vascular congestion and mild pulmonary edema from ___ . 2 . Small bilateral pleural effusions , increased from the prior study .