Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a left - sided single lead pacemaker , with lead tip over right ventricle . No pneumothorax is detected . Again seen is cardiomegaly and prominence of the pulmonary hila , similar to the prior film . There is upper zone redistribution with mild fluid overload similar to prior . The aortic knob measures 4 .7 cm . There is patchy opacity at the right lung at there is patchy bibasilar opacity , consistent with collapse and / or consolidation . Small effusions are likely present . Extreme left costophrenic angle is excluded from the film . There is degenerative change in both shoulders including evidence right chronic left rotator cuff tear .
    OUTPUT:
    
1 . Cardiomegaly and mild vascular plethora , unchanged . 2 . Probable mild dilatation of the aorta , not significantly changed . 3 . Prominent tapered pulmonary arteries raise the question of pulmonary hypertension . 4 . Bibasilar opacities , similar to prior . Probable small effusions . 5 . Chronic left rotator cuff tear .