Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest provided . A left chest wall pacer device is again noted with single lead extending to the region of the right ventricle . The heart remains mildly enlarged . There is minimal central pulmonary hilar engorgement without frank pulmonary edema . No effusion or pneumothorax is seen . Mediastinal contour is stable with atherosclerotic calcifications at the aortic knob . Degenerative changes at both shoulders are unchanged . Clips in the upper abdomen are again noted .
    OUTPUT:
    
Cardiomegaly with hilar congestion .