Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post median sternotomy and cardiac valve replacement . 2 lead right - sided pacer device is stable in position . The cardiac and mediastinal silhouettes are stably enlarged . Prominence and indistinctness of the hila likely due to fluid overload / vascular congestion with mild interstitial edema . No pleural effusion or pneumothorax is seen . Right infrahilar opacity is felt to most likely relates to prominent vasculature although a consolidation is not excluded in the appropriate clinical setting .
    OUTPUT:
    
Persistent enlargement of the cardiomediastinal silhouette . Prominence of the central pulmonary vasculature and mild interstitial edema . Right infrahilar opacity is felt to most likely relate to prominent vasculature although a consolidation is not excluded in the appropriate clinical setting .