Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with the prior radiograph , no significant change in the degree of vascular engorgement and interstitial pulmonary edema , more severe on the left . It is difficult to decipher how much of these changes are due to chronic interstitial disease , as correlated with the CT torso from the prior day . The abnormally thickened / partially calcified pleura is unchanged , as is the right pacer / defibrillator , with continuous leads in the right atrium and right ventricle .
    OUTPUT:
    
Pulmonary edema is unchanged , more severe on the left . It is difficult to decipher how much of these changes are due to chronic interstitial disease , as seen on the CT torso from the prior day .