Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable view of the chest . Left chest wall pacing device seen . Degree of cardiomegaly is unchanged . Engorged central pulmonary vasculature is again noted . Please note that motion artifact somewhat limits this exam . However , the lungs are clear of confluent consolidation . Opacity at the costophrenic angles , particularly on the right may be due to overlying soft tissues and atelectasis .
    OUTPUT:
    
No significant interval change since prior . Cardiomegaly and probable vascular congestion .