Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient is status post median sternotomy . CABG clips are seen . Cardiomediastinal silhouette is moderately enlarged , unchanged . Linear scarring is once again seen at the left lung base . Pulmonary vasculature is mildly engorged . No pleural effusion or pneumothorax is noted . No focal consolidation is present . Degenerative changes of the thoracic spine are present .
    OUTPUT:
    
Cardiomegaly with mild pulmonary vascular engorgement .