Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette continues to be enlarged , and there is a left cardiac device with its leads in stable position over the right atrium and ventricle . There is similar appearance of prominence of the right lower lobe vasculature . The lungs continue to be hyperinflated , and there is mild vascular congestion . No pleural effusion or focal consolidation is noted . There is no pneumothorax .
    OUTPUT:
    
Cardiomegaly with vascular congestion