Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette remains prominent may enlarged . Left implanted dual lead pacer is unchanged in position . Vascular congestion with mild interstitial pulmonary edema is slightly increased from prior study . There is no large pleural effusion or pneumothorax . No focal consolidation worrisome for pneumonia .
    OUTPUT:
    
Vascular congestion and mild interstitial edema slightly worsened from prior study .