Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since ___ , moderate pulmonary congestion is unchanged . No pulmonary edema , pneumothorax , or pneumonia . Moderate cardiomegaly is unchanged . The pleural surfaces are normal A left pacemaker is seen with leads appropriately placed in the right atrium and right ventricle .
    OUTPUT:
    
1 . Unchanged moderate pulmonary congestion since ___ . No pulmonary edema or pneumonia .