Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient is status post median sternotomy . Dual lead left - sided pacemaker is seen with leads extending to the expected positions of the right atrium and right ventricle . There is moderate central pulmonary vascular congestion . No focal consolidation is seen . No pleural effusion or pneumothorax is seen . The cardiac silhouette is mildly enlarged . Mediastinal contours are unremarkable .
    OUTPUT:
    
Cardiomegaly and moderate pulmonary vascular congestion . No focal consolidation .