Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A dual lead pacemaker / ICD device with two leads appears unchanged . The patient is status post endovascular aortic valve replacement . Mitral annular calcifications are present . The heart is moderately enlarged . The mediastinal and hilar contours appear unchanged . A mild new interstitial abnormality suggests vascular congestion , but no focal opacities are identified . There is no pleural effusion or pneumothorax . The patient is again status post vertebroplasty of the T10 vertebral body which demonstrates a fragmented moderate compression deformity with slight retropulsion of the dominant posterior fragment , but not significantly changed . Prior posterior fusion involving T10 and T11 also appears unchanged . A moderate biconcave L1 compression deformity appears unchanged .
    OUTPUT:
    
Findings suggesting mild pulmonary vascular congestion .