Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In comparison with the study of ___ , there is little overall change . Unchanged enlargement of the cardiac silhouette with bilateral pleural effusions and compressive atelectasis at the bases . Unchanged pulmonary vascular congestion . Triple channel pacer device remains in place with leads in good position in the right atrium , right ventricle , and coronary sinus distribution . Right PICC line terminates in the lower SVC . Median sternotomy wires are intact .
    OUTPUT:
    
Unchanged moderate pulmonary edema .