Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right anterior chest wall single - lead ICD is again visualized and is unchanged in position . Severe cardiomegaly is unchanged from prior study . There is central pulmonary vascular congestion with mild interstitial edema . There is no focal consolidation worrisome for pneumonia . There is no large effusion or pneumothorax .
    OUTPUT:
    
Central pulmonary vascular congestion .