Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable view of the chest was compared to previous exam from ___ . There is pulmonary vascular congestion without evidence of frank edema or consolidation . Cardiac silhouette is enlarged , but stable in configuration . There is a tortuous aorta . Dual - lead pacing device is again seen . Osseous structures are unchanged , notable for multiple old right - sided rib fractures .
    OUTPUT:
    
Cardiomegaly and pulmonary vascular congestion .