Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Left chest wall pacer device is again seen with leads extending to the region the right atrium and right ventricle . Midline sternotomy wires and mediastinal clips again noted . Cardiomediastinal silhouette is prominent as on prior . There is hilar engorgement with mild interstitial pulmonary edema . No frank effusion or pneumothorax . No convincing evidence for pneumonia . Bony structures are intact .
    OUTPUT:
    
Stable cardiomegaly and prominence of the mediastinum with mild pulmonary edema .