Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post CABG with median sternotomy wires that appear intact and appropriately aligned . There is a left pectoral pacemaker with leads in appropriate position . Stable enlargement of the cardiomediastinal silhouette . No focal consolidations . Vascular congestion , but no overt pulmonary edema . No pneumothorax . No pleural effusion .
    OUTPUT:
    
Vascular congestion , but no overt pulmonary edema .