Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate cardiomegaly is slightly increased compared to prior examination with re-demonstration of calcifications within a mildly tortuous thoracic aorta . Prominent central pulmonary vasculature with cephalization is compatible with fluid overload with associated mild interstitial edema . Lungs are otherwise clear but mildly hyperinflated suggestive of COPD . There is a small left - sided pleural effusion . There is no pneumothorax . Left anterior chest wall implanted dual - lead pacer is unchanged in position . Right humeral head replacement hardware is incompletely visualized .
    OUTPUT:
    
1 . Moderate cardiomegaly with fluid overload and mild interstitial edema . 2 . Hyperinflation suggestive of COPD .