Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient is status post median sternotomy . There is persistent eventration of the right hemidiaphragm . The cardiac silhouette is again quite enlarged . Mediastinal contours are stable . Prominence of the central pulmonary vasculature may be due to pulmonary vascular engorgement without overt pulmonary edema . No pleural effusion or pneumothorax is seen .
    OUTPUT:
    
Enlarged cardiac silhouette . Pulmonary vascular engorgement .