Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A single lead right - sided pacemaker is seen in appropriate position . The heart is enlarged . The hilar contours are within normal limits . The patient is status post sternotomy and CABG . There is mild central pulmonary vascular congestion as well as minimal interstitial pulmonary edema . No focal consolidation or pneumothorax . There are small bilateral pleural effusions .
    OUTPUT:
    
Worsened chronic moderate cardiomegaly , pulmonary vascular congestion and mild pulmonary edema . No evidence of pneumothorax or focal consolidation .