Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post median sternotomy and CABG . Left - sided AICD device is noted with leads terminating in the right atrium , right ventricle , and region of the coronary sinus , unchanged . Moderate to severe cardiomegaly persists . There is continued mild pulmonary vascular congestion . Right PICC tip terminates in the SVC . No pleural effusion or pneumothorax is seen . No focal consolidation is present . Inferior subluxation of the left humeral head relative to the glenoid fossa persists .
    OUTPUT:
    
Mild pulmonary vascular congestion and moderate to severe cardiomegaly , unchanged .