Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal is enlarged , but the contour is unchanged compared to prior . Evidence of previous CABG . There is mild interval increase in interstitial thickening with an associated laminated left pleural effusion . No significant interval distention of the pulmonary blood vessels . Marked degenerative disease of the left glenohumeral joint . Evidence of previous right glenohumeral joint replacement . No airspace consolidation . No pneumothorax .
    OUTPUT:
    
Mild interval development of interstitial thickening ( interstitial edema ) and a laminated left - sided pleural effusions suggesting volume overload / cardiac decompensation . No pneumonia .