Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest . The left chest wall single lead pacing device is seen . Increased interstitial markings and trace bilateral effusions are now seen . Cardiac silhouette is mildly enlarged but accentuated due to low inspiratory effort . No acute osseous abnormalities identified . Surgical clips seen in the upper abdomen .
    OUTPUT:
    
Mild congestive failure .