Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided pacer device is noted with leads terminate in the right atrium right ventricle . Mild cardiomegaly is unchanged . The mediastinal and hilar contours are similar . Previous pattern of mild pulmonary vascular congestion has slightly improved . No frank edema is seen . There is no focal consolidation , pleural effusion or pneumothorax present . Moderate multilevel degenerative changes are seen in the thoracic spine .
    OUTPUT:
    
Mild cardiomegaly with mild pulmonary vascular congestion .