Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable view of the chest is compared to previous exam from ___ . Dual - lead pacing device again seen with leads in stable position . As on prior , there is engorgement of the pulmonary vasculature , potentially slightly improved since prior . There is no confluent consolidation . Cardiac silhouette is enlarged but stable . Median sternotomy wires and mediastinal clips are again noted . Osseous and soft tissue structures are grossly unremarkable .
    OUTPUT:
    
Mild pulmonary vascular engorgement without confluent consolidation or frank pulmonary edema .