Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well expanded . There is no focal consolidation , effusion or pneumothorax . The upper lobe pulmonary vasculature is more prominent compared with the prior study in ___ . There is no evidence of interstitial edema . Cardiomegaly is moderate to severe . Aortic arch calcifications are mild . The thoracic aorta is tortuous . Dual chamber pacing leads project over stable positions .
    OUTPUT:
    
1 . Prominence of the upper lobe pulmonary vasculature may suggest central pulmonary vascular congestion . A repeat PA and lateral radiograph is suggested to exclude underlying infection . 2 . Moderate to severe cardiomegaly .