Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As compared to prior chest radiograph from the same day , there has been interval placement of a left sided pacemaker . There is persistent enlargement of the cardiac silhouette with elevated pulmonary venous pressures . Pulmonary edema has worsened . Bilateral pleural effusions persist .
    OUTPUT:
    
Interval worsening of pulmonary edema with bilateral pleural effusions .