Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post prior median sternotomy and CABG . A left chest wall dual lead pacemaker is present . A right central venous catheter is unchanged , the tip extending to the superior cavoatrial junction . No focal consolidation , pleural effusion or pneumothorax identified . Mild unchanged central pulmonary vascular congestion . The size and appearance of the cardiomediastinal silhouette is unchanged . Partially evaluated bilateral shoulder prostheses .
    OUTPUT:
    
Unchanged central pulmonary vascular congestion without evidence for pulmonary edema .