Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate cardiomegaly is stable with ICD pacing leads in unchanged position . Lung volumes remain low . There is new pulmonary vascular congestion . There is a persistent small to moderate left pleural effusion and associated atelectasis . Atelectasis at the right base is mild . There is no pneumothorax .
    OUTPUT:
    
1 . Persistent small to moderate left pleural effusion and atelectasis . Mild atelectasis at the right base . No definite pneumonia . 2 . New pulmonary vascular congestion .