Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is central pulmonary vascular engorgement with mild - to - moderate interstitial pulmonary edema and layering bilateral pleural effusions . Heart size is difficult to assess due to these findings ; however , heart size is likely normal . There is no pneumothorax . Pacer leads unchanged .
    OUTPUT:
    
Pulmonary vascular engorgement and mild - to - moderate interstitial edema with layering bilateral pleural effusions . Assessment for concurrent pneumonia is difficult and repeat imaging after diuresis would likely be helpful .