Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal AP and lateral views of the chest were obtained . The patient is rotated . The left pectoral ICD leads end in the expected locations of the right atrium and right ventricle . The patient is status post median sternotomy with intact wires . A right PICC ends in the upper SVC . There is no focal consolidation , pleural effusion or pneumothorax . Opacity at the right cardiophrenic angle corresponds to mediastinal fat on CT ___ . Aortic knob calcifications are noted . There is pulmonary vascular engorgement and mild cardiomegaly . A nodule in the right upper lung is not well visualized on this study and is better evaluated on chest CT ___ . Multiple calcified granulomas are noted .
    OUTPUT:
    
Pulmonary vascular engorgement without overt pulmonary edema . No pneumonia .