Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . The cardiomediastinal silhouette remains mildly enlarged . There is prominence of the central pulmonary vasculature suggesting mild edema . No large pleural effusion is seen . There is no definite focal consolidation . No pneumothorax is seen . Dual - lead left - sided pacer is again seen , stable in position .
    OUTPUT:
    
Persistent cardiomegaly and pulmonary edema with pulmonary edema slightly decreased as compared to the prior study .