Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left dual - lead pectoral pacemaker device appears intact and unchanged in position . The heart is moderately enlarged . Moderate central pulmonary congestion and edema , increased from the prior exam . A left pleural effusion , if present , is small . There is mild bibasilar atelectasis . No pneumothorax . Median sternotomy wires are unchanged .
    OUTPUT:
    
Findings consistent with congestive heart failure and / or volume overload , progressed from the prior exam .