Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac pacing hardware appear similarly positioned . Heart size is moderately enlarged , as before . There has been interval increase in pulmonary vascular prominence without frank edema . No focal consolidation , pleural effusion , or pneumothorax is detected . Aortic calcification is again noted . There has been interval removal of the Swan___ Ganz catheter .
    OUTPUT:
    
Interval increase in pulmonary vascular engorgement .