Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate cardiomegaly is unchanged . Mild pulmonary vascular congestion has improved since ___ and there is no pulmonary edema . Flattening of the hemidiaphragms , seen on the lateral view is consistent with hyperinflation . Bilateral pleural effusions are small if present . There is mild bibasilar atelectasis . No pneumothorax or consolidation . A pacemaker device is present , with unchanged position of the leads , ending in the region of the right atrium and right ventricle .
    OUTPUT:
    
Moderate cardiomegaly . No evidence of acute decompensation . No pneumonia .