Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The mid to lower lateral right chest is not fully included on the image . Dual lead left - sided pacer device is grossly stable in the position . The cardiac and mediastinal silhouettes are grossly stable with the cardiac silhouette mildly enlarged . There is moderate pulmonary edema / vascular congestion . Right base opacity is not well assessed , could relate to fluid overload or consolidation due to infection or aspiration . No large pleural effusion is seen although small pleural effusion would be difficult to exclude . No evidence of pneumothorax .
    OUTPUT:
    
Suboptimal study since the mid to lower lateral right chest is not fully included on the image . Given this , persistent enlargement of the cardiac silhouette . Moderate pulmonary edema / vascular congestion . Right base opacity not well assessed , could relate to pulmonary edema or consolidation due to infection or aspiration .