Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest . The lungs are clear of consolidation or large effusion . There is mild pulmonary vascular congestion . Severe cardiomegaly is again noted as well as aortic valve replacement including stent material at the aortic root compatible with appearance of Carevalve Aortic bioprothesis . Triple - lead pacing device is unchanged in position . The third sternal wire from the top is fractured , unchanged from prior . No acute osseous abnormalities .
    OUTPUT:
    
Moderate - to - severe cardiomegaly with mild pulmonary vascular congestion . No focal consolidation .