Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate pulmonary edema with bibasilar small - to - moderate pleural effusion and compressive atelectasis are unchanged since ___ , but increased since ___ . The heart is severely enlarged with right ventricular pacemaker in unchanged position . There is no pneumothorax .
    OUTPUT:
    
Moderate pulmonary edema with small - to - moderate pleural effusion are unchanged since ___ .