Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were compared to previous exam from ___ . When compared to prior , there is more prominent central pulmonary vascular engorgement and indistinct pulmonary vasculature suggestive of pulmonary edema . There is no large effusion . Cardiac silhouette is enlarged but stable in configuration . Triple - lead pacing device is seen in stable position . Median sternotomy wires and mediastinal clips again noted . Osseous and soft tissue structures are unremarkable .
    OUTPUT:
    
Findings suggestive of mild failure , similar to previous exam .