Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided AICD device is noted with single lead terminating in the right ventricle . Patient is status post median sternotomy and CABG . Moderate to severe enlargement of the cardiac silhouette is re - demonstrated . The mediastinal contour is similar . There is mild pulmonary vascular congestion without frank pulmonary edema . Increased fluid is loculated within the right minor and major fissures . Small left pleural effusion is relatively unchanged . Increased patchy opacities may reflect atelectasis . No pneumothorax is seen . Bilateral pleural calcification is again noted at the bases . Moderate multilevel degenerative changes are again noted in the thoracic spine .
    OUTPUT:
    
1 . Increased fluid loculated within the right - sided fissures . Unchanged trace left pleural effusion . 2 . Mild pulmonary vascular congestion . 3 . Increased patchy bibasilar airspace opacities may reflect atelectasis , though infection or aspiration can not be completely excluded in the correct clinical setting .