Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen is a left chest cardiac device with associated dual leads in grossly appropriate location . There is a tortuous and calcified thoracic aorta . Marked cardiac enlargement is stable . In comparison to prior radiograph , there is an improved inspiratory effort . Prominence of the interstitial markings is consistent with persistent pulmonary vascular congestion . There is no overt pulmonary edema . The right lower lung is now clear . There is no focal lung consolidation elsewhere . There is no pneumothorax or pleural effusion .
    OUTPUT:
    
1 . Stable moderate - to - severe cardiomegaly and pulmonary vascular congestion . 2 . No focal lung consolidation .