Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . The patient is status post median sternotomy . Prominence of the cardiomediastinal silhouette is grossly stable . There has been interval removal of the right - sided PICC . Left - sided AICD is again seen , similar in appearance and position with moderate central pulmonary vascular engorgement without frank overt pulmonary edema . The cardiac silhouette is enlarged . No definite focal consolidation is seen . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
No definite focal consolidation . Moderate pulmonary vascular engorgement .