Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post median sternotomy with unchanged fracture of the superior most sternotomy wire . Moderate cardiomegaly is unchanged , with persistent enlargement of the pulmonary arteries compatible with pulmonary artery hypertension . Mild pulmonary vascular engorgement is noted . No focal consolidation , pleural effusion or pneumothorax is identified . No acute osseous abnormalities are seen .
    OUTPUT:
    
Persistent enlargement of the pulmonary arteries compatible with pulmonary artery hypertension , unchanged . Mild pulmonary vascular congestion and continued moderate cardiomegaly .