Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are low which accentuates the cardiac silhouette and pulmonary vasculature . Moderate cardiomegaly is unchanged given difference in technique with unchanged mediastinal contour . There is slight prominence of the central pulmonary vasculature suggestive of fluid overload . There is no frank interstitial edema . A left - sided 3 lead pacer remains in unchanged position . There is mild bibasilar atelectasis with some hazy peripheral opacity in the right lung field which may be related to check - in fluid from the small right - sided effusion . There is no pneumothorax . There is no distracted rib fracture although evaluation is difficult given technique . A compression deformity of a mid thoracic vertebral body is unchanged since ___ .
    OUTPUT:
    
Moderate cardiomegaly with mild fluid overload , right - sided effusion and peripheral bibasilar opacities which are likely to represent atelectasis however infection can not be excluded given the correct clinical circumstance . No distracted rib fracture or pneumothorax although evaluation is limited given technique .