Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There low lung volumes resulting and bronchovascular crowding . Indistinctness of the hila bilaterally as well as cephalization of vessels is consistent with pulmonary vascular congestion . The heart remains enlarged . There is no pleural effusion , pneumothorax , or consolidation . The patient is status post median sternotomy , CABG , mitral valve replacement , and placement of left - sided dual - lead pacemaker which is in standard position . The anchor in the right humerus is in unchanged position .
    OUTPUT:
    
Indistinctness of the hila and cephalization of vessels is consistent with pulmonary vascular congestion .