Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest provided . Left chest wall AICD again noted with leads extending into the region of the right atrium and right ventricle . Cardiomegaly is again noted with hilar congestion . Mild interstitial pulmonary edema is also noted . No large effusion or pneumothorax . Suture material projects over the left apex and right apex likely reflecting prior resection . Mediastinal contour stable . Bony structures are intact .
    OUTPUT:
    
Cardiomegaly with mild congestion pulmonary edema .