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 ___ . When compared to prior , there is new mild indistinctness of the pulmonary vasculature with cephalization . There is no confluent consolidation . Blunting of the posterior costophrenic angles raises possibility of small effusions . Cardiac silhouette is enlarged but stable . Multiple lead pacing device again seen with tips about right ventricular apex , right atrium , and two within the coronary sinus . Osseous and soft tissue structures are unchanged .
    OUTPUT:
    
Mild fluid overload and probable trace pleural effusions , new since prior exam .