Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . The lungs are well expanded and clear , without focal consolidation , pleural effusion or pneumothorax . Pulmonary vasculature is engorged without overt pulmonary edema . Left pacemaker leads end in the expected locations of the right atrium and right ventricle . The heart is moderate enlarged . The aorta is tortuous , as described on the prior reports , but comparison can not be made in the absence of the prior images .
    OUTPUT:
    
Vascular congestion without overt pulmonary edema . No pneumonia .