Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient is status post median sternotomy , CABG , and left - sided AICD placement with leads terminating in the regions of the right atrium and right ventricle . Moderate cardiomegaly is unchanged . There is mild pulmonary vascular congestion , new in the interval . No focal consolidation , pleural effusion or pneumothorax is present . Mild atelectasis is noted in the lung bases . There are moderate multilevel degenerative changes in the thoracic spine .
    OUTPUT:
    
Moderate cardiomegaly with mild pulmonary vascular congestion .