Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest . The lungs are hyperinflated with flattening of the diaphragms . There is increased hazy opacity throughout both lungs with indistinct pulmonary vascular markings . There is a superimposed more confluent consolidation in the left mid lung laterally . The cardiac silhouette has enlarged since prior . Blunting of the posterior costophrenic angles is suggestive of small effusions . Atherosclerotic calcification is noted at the aortic arch . Left chest wall dual - lead pacing device seen with lead tips in the right ventricular apex and right atrium . No acute osseous abnormality is identified .
    OUTPUT:
    
Findings suggestive of pulmonary vascular congestion and small effusions with cardiomegaly . More confluent region of opacity in the left upper lobe , potentially superimposed infection .