Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-upright radiograph of the chest demonstrates an enlarged cardiac silhouette . The right internal jugular catheter is in unchanged position . A left - sided 2 lead pacemaker also remains unchanged . There is persistent indistinctness of the pulmonary vasculature and bilateral hazy opacities , not significantly changed since the most recent study . Bilateral pleural effusions and associated atelectasis are also unchanged . No definite focal consolidation is identified .
    OUTPUT:
    
Similar examination to 2 days prior .