Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In comparison with chest radiograph from ___ , bilateral pleural effusions are again seen , with minimal improvement on the right . Left pleural effusion is unchanged and appears loculated . Moderate central vascular congestion with mild interstitial pulmonary edema is unchanged . Left - sided cardiac pacing device with dual leads following their expected courses to the right atrium and right ventricle , respectively . Median sternotomy wires , mediastinal clips and a prosthetic mitral valve is seen . Mediastinal and hilar contours are stable . Moderate cardiomegaly is unchanged .
    OUTPUT:
    
Stable cardiomegaly with small pleural effusions unchanged , left greater than right . Congestion and mild interstitial edema .