Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Dual lead left - sided pacemaker is seen with leads extending to the expected positions of the right atrium and right ventricle . The aorta is relatively unfolded and calcified . The cardiac silhouette is mildly enlarged . No focal consolidation is seen . There is no large pleural effusion or pneumothorax . Pulmonary vascular congestion is seen .
    OUTPUT:
    
Pulmonary vascular congestion . No focal consolidation .