Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with the prior radiograph , mild to moderate cardiomegaly and a tortuous aorta are unchanged . The dual channel pacer with leads projecting to the right atrium and right ventricle is unchanged in appearance . There is minimal interstitial engorgement without frank edema . No focal consolidation , pleural effusion , or pneumothorax .
    OUTPUT:
    
Minimal interstitial engorgement , without frank pulmonary edema . No focal consolidation .