Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Dual lead left - sided AICD is stable in position . Enlargement of the cardiomediastinal silhouette is grossly stable to possibly minimally increased . Left base opacity and partial obscuration of left hemidiaphragm could be due to atelectasis and small left pleural effusion . No pneumothorax is seen . Pulmonary vascular congestion is again seen . There is persistent mild elevation of the right hemidiaphragm .
    OUTPUT:
    
Persistent enlargement of the cardiomediastinal silhouette and pulmonary vascular congestion , grossly stable . Blunting of the left costophrenic angle may be due to overlying soft tissue or small pleural effusion and atelectasis .