Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is intervally enlarged , and there is central pulmonary vascular congestion . There are bilateral small pleural effusions . A cardiac pacing device is in stable position with its leads terminating over the right atrium and ventricle . No focal consolidation or pneumothorax is seen . There is mild elevation of the right hemidiaphragm .
    OUTPUT:
    
New cardiomegaly with central pulmonary vascular congestion and small bilateral pleural effusions .