Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright chest radiograph obtained . The pacer and AICD devices are again seen projecting over the bilateral chest wall with catheter extending into the right ventricle and coronary sinus . Midline sternotomy wires and prosthetic cardiac valve unchanged . The heart remains markedly enlarged . There is slight worsening of pulmonary interstitial edema compared with the prior exam . There is consolidation again noted at the right lung base which is similar to prior . Calcified lesion again noted in the left upper quadrant , which is compatible with a calcified splenic cystic lesion .
    OUTPUT:
    
Marked cardiomegaly with interval development of mild interstitial edema . Unchanged consolidation in the right lung base which remains concerning for pneumonia .