Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided neck pacer lead in situ with the tip projecting over the right ventricle . TAVR in situ . Sternotomy wires intact . Improved vascular congestion . No pneumothorax . No pulmonary edema . No airspace consolidation . No pleural effusions . Calcification projecting in the left cervical soft tissues most likely represent carotid artery atherosclerotic disease .
    OUTPUT:
    
Improved vascular congestion . Right - sided neck pacer lead in situ with the tip projecting over the right ventricle .