Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with chest radiograph on ___ , there is new diffuse interstitial opacity and increased pulmonary vascular portion . There has been interval slight decrease in moderate right pleural effusion , and apparent decrease in left small pleural effusion . Right lower and middle lobe opacity is similar to prior . No pneumothorax . Severe cardiomegaly is similar to prior . A left chest wall pacemaker is stable in position , with leads terminating in the in the right atrium and right ventricle .
    OUTPUT:
    
1 . Severe cardiomegaly with worsening pulmonary vascular congestion and new mild interstitial edema . 2 . Right lower and middle lobe opacity .