Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest provided . Pacer appears in unchanged position . Lung volumes are low . Surgical clips project over the right axilla and subclavian region . Surgical anchors overlie the left humeral head . The heart appears mildly enlarged . No focal consolidation concerning for pneumonia . Mild hilar congestion is noted with cephalization without frank pulmonary edema . No large effusion or pneumothorax . Aortic calcification is seen . No acute osseous abnormality . Pattern of degenerative changes at both shoulders suggests chronic rotator cuff disease .
    OUTPUT:
    
Cardiomegaly with mild congestion .