Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The severe enlargement of cardiac silhouette due to cardiomegaly and / or pericardial effusion is worse from prior . There is increased pulmonary venous congestion diffusely . No consolidation appreciated . The neo esophagus is again noted . The left pleural effusion has increased and there is a new moderate right pleural effusion . No pneumothorax . No fractures . The transvenous biventricular pacer leads continuous from the left pectoral generator terminate at right ventricle and left ventricle .
    OUTPUT:
    
1 . No pneumonia appreciated . 2 . Worsening pulmonary venous congestion with new right pleural effusion and persistent left pleural effusion . 3 . There is worse cardiomegaly and / or pericardial effusion .