Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a pacemaker overlying the left chest , with leads that appear intact in the right atrium and right ventricle . There are bilateral pleural effusions , worse on the right , which appear unchanged in comparison to the prior chest radiograph . There is moderate vascular congestion , which has increased in comparison to the prior . Heart size is stable . The mediastinal and hilar contours are stable . No pneumothorax is seen . There are no acute osseous abnormalities .
    OUTPUT:
    
1 . Moderate vascular congestion , increased since ___ . 2 . Unchanged bilateral pleural effusions , right worse than left .