Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post median sternotomy . Dual - lead left - sided AICD is again seen with leads extending to the expected positions of the right atrium and right ventricle , similar in position . The cardiac silhouette remains enlarged . The mediastinal contours are stable . No pleural effusion or evidence of pneumothorax is seen . There is moderate pulmonary vascular congestion . No definite focal consolidation . There is some thickening / possible fluid along the minor fissure seen on the lateral view .
    OUTPUT:
    
Enlarged cardiac silhouette and moderate pulmonary vascular congestion .