Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable frontal view of the chest demonstrates hyperexpanded lungs . Moderate cardiomegaly is noted with perihilar vascular congestion , progressed from prio . There is no pleural effusion or pneumothorax . Hilar and mediastinal silhouettes are unremarkable . Most superior sternotomy wire appears fractured . Biventricular pacemaker device is in place .
    OUTPUT:
    
Moderate cardiomegaly with perihilar vascular congestion , appears progressed from ___ exam .