Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a left pectoral pacer defibrillator . There is mild interstitial pulmonary edema , which appears slightly worse compared to ___ . No overt pulmonary edema . There is no focal consolidation , pleural effusion or pneumothorax . Moderate cardiomegaly . No acute osseous abnormalities .
    OUTPUT:
    
Mild interstitial pulmonary edema , minimally worse compared to ___ . No pleural effusions .