Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart continues to be enlarged with enlarged pulmonary arteries bilaterally . There is no overt pulmonary edema . No focal consolidation , pleural effusion or pneumothorax is noted . The patient is status post median sternotomy , and a cardiac device has its leads projecting over the right atrium and right ventricle .
    OUTPUT:
    
Cardiomegaly . Severe pulmonary hypertension