Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post median sternotomy and CABG . Left - sided AICD device is noted with lead terminating in the right ventricle . The heart is moderately enlarged , increased compared to the prior outside study , but this could be due differences in technique . The aorta remains mildly tortuous . There is mild pulmonary vascular congestion . No focal consolidation , pleural effusion or pneumothorax is seen . There are mild degenerative changes in the thoracic spine .
    OUTPUT:
    
Slightly increased cardiomegaly with mild pulmonary vascular congestion .