Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided cardiac pacing device with dual leads following their expected courses to the right atrium and ventricle , respectively . Small bilateral pleural effusions . Bibasilar reticular opacities , new since prior chest radiographs , are suggestive of interstitial lung disease . There is mild central vascular congestion without overt pulmonary edema . No focal consolidation . No pneumothorax . Moderate cardiomegaly is stable .
    OUTPUT:
    
1 . Mild central vascular congestion without overt pulmonary edema . Stable moderate cardiomegaly . 2 . Small bilateral pleural effusions . 3 . Bibasilar reticular opacities , new since prior chest radiograph , are suggestive of interstitial lung disease . Recommend chest CT for further evaluation .