Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided pacemaker device with lead terminating in the right ventricle is unchanged . The heart remains moderate to severely enlarged . Aortic knob calcifications are re - demonstrated . There is mild pulmonary vascular engorgement , similar compared to the previous exam . No focal consolidation , pleural effusion or pneumothorax is identified . Remote right - sided rib fracture is present . No acute osseous abnormalities are seen . Clips are noted within the upper abdomen .
    OUTPUT:
    
Mild pulmonary vascular congestion .