Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A dual lead left chest wall pacemaker phase in unchanged position . The cardiac silhouette is moderately enlarged , slightly increased from prior . There is new pulmonary edema . There may be trace bilateral pleural effusions . No pneumothorax .
    OUTPUT:
    
Signs of congestive heart failure with new pulmonary edema and increased cardiomegaly .