Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral radiographs of the chest demonstrate low lung volumes which results in bronchovascular crowding . There is engorgement of the pulmonary vasculature without evidence of overt pulmonary edema . The cardiomediastinal and hilar contours are unchanged . There is no pneumothorax , pleural effusion , or consolidation . A pacemaker device is present with leads ending in the regions of the right atrium and right ventricle .
    OUTPUT:
    
Pulmonary vascular engorgement without overt pulmonary edema .