Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest . Left chest wall dual lead pacing device is again seen . Mildly prominent interstitial markings are seen in the lungs without evidence of frank pulmonary edema . Blunting of posterior costophrenic angles suggestive of trace effusions , likely larger on the left . The cardiac silhouette is enlarged but unchanged . Cardiac stent is visualized as well as median sternotomy changes and mediastinal clips . No acute osseous abnormality is detected . The left shoulder arthroplasty again seen .
    OUTPUT:
    
Mild pulmonary vascular congestion . No evidence of focal consolidation .