Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Pacer pad overlies to right upper outer chest . No focal consolidation is seen . There is no large pleural although there is slight blunting of the right costophrenic angle and a trace effusion would be difficult to exclude . There is mild - to - moderate pulmonary vascular congestion . The cardiac and mediastinal silhouettes are stable . Slight deformities of the posterior right sixth and seventh ribs may be due to prior rib fractures .
    OUTPUT:
    
Stable cardiomediastinal silhouette . Pulmonary vascular congestion .