Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is redemonstration of a left - sided pacemaker with right atrial , right ventricular , and coronary sinus leads , not significantly changed . Pulmonary vascular congestion without frank interstitial edema is not significantly changed . There is no focal consolidation . Enlargement of the cardiac silhouette is not significantly changed . There are no pleural effusions . No pneumothorax is seen . There has been interval extubation and removal of an enteric catheter .
    OUTPUT:
    
1 . Unchanged pulmonary vascular congestion without frank interstitial edema . 2 . Unchanged enlargement of the cardiac silhouette . 3 . No focal consolidation .