Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Cardiomegaly is again noted with midline sternotomy wires and multiple mediastinal clips . Mild hilar engorgement is noted , without overt signs of edema . No large effusion or pneumothorax . No focal opacity concerning for pneumonia . Bony structures are intact . Clips in the left upper quadrant noted .
    OUTPUT:
    
Cardiomegaly with hilar congestion . No definite signs of pneumonia .