Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lateral film is severely rotated , limiting interpretation . The frontal view demonstrates no consolidation , pneumothorax , or pleural effusion . There is vascular congestion . Heart size is enlarged . Left - sided pacer is present with wires terminating in the right atrium and right ventricle . Mild degenerative changes of the right acromioclavicular joint are noted .
    OUTPUT:
    
Cardiomegaly and pulmonary vascular congestion consistent with mild pulmonary edema .