Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest are compared to previous exam from ___ and CTA from ___ . Again seen are bilateral calcified pleural plaques . There is engorgement of the central pulmonary vasculature with mild indistinctness of the vessels . There is a left - sided pleural effusion which is small but slightly larger compared to previous exam . There is no significant right pleural effusion . Increased density projecting over the posterior aspect of the heart on the lateral is view at least in part due to calcified pleural plaques seen on prior CT of the chest from ___ . Cardiac silhouette is enlarged , mildly increased compared to most recent prior . Dual - lead pacing device is in stable position . Osseous and soft tissue structures are unchanged .
    OUTPUT:
    
1 . Findings suggestive of mild failure . Slightly increased left - sided pleural effusion and cardiomegaly . 2 . Bilateral calcified pleural plaques .