Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In comparison with the study of ___ , the dual lead pacemaker are unchanged in standard position . There is continued enlargement of the cardiac silhouette , marked tracheal shift to the right and pulmonary vascular congestion . There is worsening left - sided moderate pleural effusion and persistent retrocardiac opacity . The right - sided pleural effusion and fluid along the fissure has marginally improved .
    OUTPUT:
    
Reaccumulation of the moderate left - sided pleural effusion , and increasing interstitial edema .