Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest are compared to previous exam from ___ . Lung volumes are again noted which could accentuate the pulmonary bronchovascular markings . There are indistinct pulmonary vascular markings raising possibility of underlying edema . There is no large effusion or large confluent consolidation . Cardiac silhouette is enlarged but stable in configuration . Triple - lead pacing device is again seen with lead tips within the right atrium , right ventricle , and coronary sinus . Compression deformities in the mid - to - lower thoracic spine are noted similar to prior chest x-ray from ___ .
    OUTPUT:
    
Findings suggestive of pulmonary vascular congestion . No new confluent consolidation .