Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient is status post median sternotomy . Left - sided AICD device is noted with leads in unchanged positions . Moderate to severe enlargement of the cardiac silhouette is unchanged . The mediastinal contour is similar . There is mild pulmonary vascular congestion , as seen previously without overt pulmonary edema . Bilateral lateral pleural thickening is re - demonstrated . No pleural effusion or pneumothorax is present . There are no acute osseous abnormalities .
    OUTPUT:
    
Mild pulmonary vascular congestion , as seen previously . No focal consolidation to suggest pneumonia .