Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Minimal interval changes . The LVAD and transvenous pacer are in unchanged position . The lung parenchyma is unchanged . No obvious consolidation . However , with the presence of severe cardiomegaly , pneumonia can not be ruled out is partially in the absence of the lateral view . Worsening pain venous congestion . No pleural effusions or pneumothorax .
    OUTPUT:
    
Worsening pulmonary venous congestion and severe cardiomegaly consistent with fluid overload .