Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no focal consolidation , pleural effusion or pneumothorax . There is pulmonary vascular congestion , without overt pulmonary edema . Moderate cardiomegaly is stable . No acute osseous abnormalities identified . A right - sided PICC line terminates in the mid / low SVC . Left - sided pacer lead extends to the right ventricle .
    OUTPUT:
    
Moderate cardiomegaly and pulmonary vascular congestion , without overt pulmonary edema .