Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient is status post median sternotomy and corevalve placement . A left - sided pacemaker device is again noted with leads terminating in the regions of the right atrium and right ventricle . Mild cardiomegaly is again noted with dense mitral annular calcifications . Mediastinal contour is similar . Moderate pulmonary edema appears worse in the interval . There is chronic elevation of the right hemidiaphragm . Trace right pleural effusion is unchanged . No pneumothorax is demonstrated .
    OUTPUT:
    
Moderate pulmonary edema , slightly worse in the interval with trace right pleural effusion .