Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Pulmonary vascular remains engorged with coarsened reticular markings . Moderate cardiomegaly . Prior median sternotomy and CABG with dual lead pacer with the tip in the right atrium and right ventricle . No acute focal consolidation . No pleural effusions or pneumothorax .
    OUTPUT:
    
Pulmonary vascular remains prominent . No acute consolidation . Ground glass opacities are not evident on chest radiograph .