Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided AICD / pacemaker device is noted with the leads terminating in the right atrium , right ventricle and coronary sinus . Moderate - to - severe cardiomegaly is unchanged . The patient is status post median sternotomy and CABG . There is mild pulmonary vascular congestion , similar compared to the prior study , with probable trace bilateral pleural effusions . No pneumothorax is present . There are no acute osseous abnormalities .
    OUTPUT:
    
No significant interval change in mild congestive heart failure with probable small bilateral pleural effusions and mild pulmonary edema .