Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Left chest wall pacer device is again seen with leads extending into the region the right atrium and right ventricle . Midline sternotomy wires and mediastinal clips are again noted . Mild cardiomegaly is again noted . There is no focal consolidation , large effusion or pneumothorax . There is mild hilar congestion without frank edema . Mediastinal contour appears normal . Bony structures are intact .
    OUTPUT:
    
Mild cardiomegaly , stable , with mild hilar congestion .