Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest demonstrates unchanged position of a dual lead pacemaker device and median sternotomy wires . There is increased prominence along with mild interstitial prominence . The cardiomediastinal silhouette is not significantly changed since the prior study , with mild cardiomegaly . No focal consolidation , pleural effusion or pneumothorax is identified .
    OUTPUT:
    
Mild interstitial prominence , consistent with fluid overload . No evidence of pleural effusion or focal parenchymal opacification .