Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left axillary dual lead pacemaker is present with tip terminating in the right atrium and right ventricle as expected . Moderate cardiomegaly is again noted . The mediastinal and hilar contours are stable . There is no pleural effusion or pneumothorax . The lungs are well - expanded without focal consolidation concerning for pneumonia . Mild vascular congestion is present . Multiple healed rib fractures in the right posterior ribcage are noted .
    OUTPUT:
    
1 . Mild vascular congestion . 2 . Stable moderate cardiomegaly .