Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart continues to be enlarged with mild pulmonary vascular congestion . Increased AP diameter of the chest reflects COPD . No focal consolidation , pleural effusion or pneumothorax is seen . A left - sided cardiac pacing device has its leads over the right atrium and ventricle . Prominence of the pulmonary artery is noted , reflecting pulmonary hypertension .
    OUTPUT:
    
Cardiomegaly with mild pulmonary vascular congestion .