Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The request for PA and lateral chest examination had to be altered because of patient 's limited clinical condition . She was examined in sitting position using AP frontal and left lateral views . Comparison is made with the next preceding portable AP single view chest examination dated ___ . Previously described findings of sternotomy , bypass surgery , and right - sided permanent pacer with dual intracavitary electrode system are unchanged . The degree of cardiac enlargement also appears unaltered . Comparison however , demonstrates that the previously identified marked pulmonary congestive pattern with peripheral perivascular haze in both lungs and bases has improved significantly . There is still some mild degree of blunting in the lateral pleural sinuses as well as the previously described thickening of the right - sided apical pleura . The lateral view also discloses the presence of thickening of the interlobar fissures , most likely related to pleural effusions related to chronic CHF . No pneumothorax is seen .
    OUTPUT:
    
No new pulmonary abnormalities in this patient with evidence of previous cardiac enlargement . Comparison with the next preceding chest examination demonstrates marked improvement of the congestive pattern in the pulmonary vasculature which was present on ___ .