Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette continues to be enlarged , and a cardiac device has its leads in stable position project over the right atrium and ventricle . There is central pulmonary vascular congestion without overt pulmonary edema . There is equivocal minimal blunting of the right costophrenic angle , without gross pleural effusion . No focal consolidation or pneumothorax detected .
    OUTPUT:
    
Cardiomegaly with central pulmonary vascular congestion . No focal infiltrate identified .