Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a three - lead pacemaker / ICD device that appears unchanged . The heart is at the upper limits of normal size with a left ventricular configuration . The lung volumes are low . The mediastinal and hilar contours appear unchanged . Similar to prior findings , there is mild interstitial prominence suggesting vascular congestion . No focal consolidation is seen . There is no definite pleural effusion or pneumothorax . The bones appear probably demineralized with degenerative changes throughout the mid-to - lower thoracic and visualized upper lumbar spines . A lower thoracic compression deformity of a moderate loss in height appears unchanged .
    OUTPUT:
    
Findings suggesting mild vascular congestion but similar to prior findings .