Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Left chest wall pacer is again noted with pacer lead extending to the region the right ventricle . AVR and MVR replacements noted . Cardiomegaly is again noted . Suture is seen in the region of the left hilum . Hila are engorged . No frank edema or pneumonia . No large effusion or pneumothorax . Bony structures are intact . Mediastinal contour is unchanged . No free air below the right hemidiaphragm .
    OUTPUT:
    
Stable cardiomegaly with hilar engorgement and no frank edema .