Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate to large right and small left pleural effusions have increased compared with the prior study . Pulmonary vascular congestion is mild , also increased with moderate associated edema . Severe cardiomegaly is unchanged with left pectoral dual - chamber pacemaker and aortic valve replacement projecting in unchanged position . There is no pneumothorax or focal consolidation .
    OUTPUT:
    
Interval increase in mild pulmonary vascular congestion , mdoerate edema , and moderate to large right and small left pleural effusions . No focal consolidation .