Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is massive cardiomegaly present . Pacemaker is in unchanged position . No significant effusion . CT localization peribronchial cuffing is noted consistent with some congestive change . No good evidence of pneumonia .
    OUTPUT:
    
No good evidence of a pneumonia . Some congestive changes suggested although some of this may reflect the technique