Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well expanded . No focal parenchymal opacities are identified . However , compared to the patient 's radiographic baseline appearance from ___ , there is minimal increase in vascular caliber as well as interstitial markings suggesting mild interstitial edema / vascular congestion , which is unchanged from ___ . Massive cardiomegaly is not significantly changed compared with prior exam . Prominent right hilum is stable in configuration since at least ___ and secondary to hilar lymphadenopathy , better appreciated in prior chest CT . There is no pleural effusion or pneumothorax . An ICD device projects over the left axilla , with epicardial and venous leads in unchanged position compared with prior exam .
    OUTPUT:
    
1 . Mild pulmonary vascular congestion and interstitial edema is unchanged from most recent radiograph on ___ , but worsened from baseline appearance of the patient appreciated on chest film from ___ . 2 . Massive cardiomegaly and prominent right hilum are unchanged since at least ___ . 3 . No focal opacity suggestive of pneumonia .