Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided AICD device is noted with lead terminating in the right ventricle . The heart remains moderately enlarged . The mediastinal and hilar contours are stable , with calcification of the thoracic aorta present . There is mild pulmonary edema noted , which appears minimally worse when compared to the prior study , with continued elevation of the right hemidiaphragm and blunting of the right costophrenic angle , the latter of which may represent a small pleural effusion or pleural thickening . No left - sided pleural effusion is present , and there is no pneumothorax . Multilevel degenerative changes are noted in the thoracic spine , and multiple sutures are noted within the anterior aspect of the upper abdomen .
    OUTPUT:
    
Mild pulmonary edema . Chronic elevation of the right hemidiaphragm and chronic blunting of the right costophrenic angle which may reflect a small right pleural effusion or pleural thickening .