Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette is enlarged , but unchanged from prior . Bilateral pleural effusions have increased and fluid is seen tracking into the minor fissure . Compared to prior there is a new right lower lung opacity that is likely ateletasis but pneumonia should not be excluded in the appropriate clinical setting . There is some prominence of the interstitial vasculature . No pneumothorax or focal consolidation is seen . A left - sided pacemaker is present with wires terminating in the right atrium and right ventricle . Midline sternotomy wires and CABG clips are noted .
    OUTPUT:
    
Mild vascular congestion , unchanged from prior . Opacity within the right lower lung is likely atelectasis but pneumonia could be considered in the correct clinical setting .