Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In comparison with the study of ___ , the patient has taken a better inspiration . Enlargement of cardiac silhouette process with mild elevation of pulmonary venous pressure . No evidence of acute focal pneumonia . Triple - channel pacer device remains in good position . Prosthetic valve is also seen .
    OUTPUT:
    
Litttle change and no acute abnormality .