Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided pacemaker with leads terminating in the atrium and left ventricle is in unchanged position . Cardiac size remains enlarged . Previous right - sided pleural effusion has mostly resolved . Left sided pleural thickening / fat again seen , stable . Probable pulmonary edema accounts for some of the increased interstitial markings . There is no convincing evidence of pneumonia . There is no pneumothorax .
    OUTPUT:
    
Probable pulmonary edema . No overt evidence of pneumonia . Consider repeat after diuresis depending on clincal scenario .