Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A single - lead pacemaker device terminates in the right ventricle in an unchanged position . The heart is again moderately enlarged . The aorta is mildly tortuous . Similar to prior findings , there is upper zone redistribution of pulmonary vasculature suggesting pulmonary venous hypertension . The lungs appear clear . There are no pleural effusions or pneumothorax . The chest appears hyperinflated .
    OUTPUT:
    
Similar cardiomegaly and suggestion of pulmonary venous hypertension , but no evidence of acute cardiopulmonary disease .