Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Mild bilateral vascular congestion with engorgement of mediastinal vessels but no pulmonary edema . No focal consolidation . Bilateral small pleural effusions have decreased since ___ . No pneumothorax is seen . Again seen is the severe cardiomegaly . Postoperative appearance of cardiomediastinal silhouette is unchanged . Median sternotomy wires and mediastinal clips again noted . Pacer leads in right atrium and right ventricle are contiguous with the left pectoral generator . Dialysis catheter terminates in the right atrium . Interval removal of feeding tube .
    OUTPUT:
    
No evidence of pneumonia . Decreased small bilateral pleural effusions since ___ with mild bilateral vascular congestion but no evidence of pulmonary edema . Stable severe cardiomegaly .