Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post median sternotomy and CABG . Moderate to severe enlargement of the cardiac silhouette is stable . Pulmonary vascular congestion persists . There is no definite focal consolidation . No pleural effusion or pneumothorax is seen .
    OUTPUT:
    
Cardiomegaly with pulmonary vascular congestion .