Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient is status post median sternotomy . Left - sided pacemaker , dual lead , with leads extending to the expected positions of the right atrium and right ventricle . The cardiac silhouette is mildly enlarged . Mediastinal contours are unremarkable . No large pleural effusion or pneumothorax is seen . There is no focal consolidation . There is central pulmonary vascular engorgement without overt pulmonary edema .
    OUTPUT:
    
Central pulmonary vascular engorgement without overt pulmonary edema . No focal consolidation to suggest pneumonia .