Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a three - lead pacemaker / ICD device with leads terminating in the right atrium , right ventricle , and coronary sinus , respectively . The heart appears moderately enlarged . The aorta is calcified . There is no pleural effusion or pneumothorax . The interstitium is mildly hazy appearance suggesting mild vascular congestion . Fissures are mildly thickened . The bones are probably demineralized .
    OUTPUT:
    
Findings suggests mild vascular congestion but no evidence of pneumonia .