Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is enlarged but unchanged from prior study . There are small bilateral pleural effusions . No pneumothorax or large consolidation is seen . There is mild pulmonary vascular congestion . A right - sided pacemaker is present with leads terminating in the right atrium and right ventricle . There are moderate degenerative changes of the thoracic spine with calcification in anterior longitudinal ligament .
    OUTPUT:
    
Cardiomegaly and pulmonary vascular congestion is consistent with mild pulmonary edema .