Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided AICD device is noted with single lead terminating in the right ventricle . Heart size remains moderately enlarged . Aorta is tortuous . The mediastinal and hilar contours are otherwise unchanged . Pulmonary vasculature is mildly prominent , with cephalization as seen previously , which suggests chronic pulmonary venous hypertension , without overt pulmonary edema . No focal consolidation , pleural effusion , or pneumothorax is identified . There are no acute osseous abnormalities .
    OUTPUT:
    
Moderate cardiomegaly with chronic pulmonary venous hypertension as seen previously .