Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP view of the chest . A left - sided pacemaker ends with its leads in appropriate position . The median sternotomy wires and mediastinal clips are stable . There is moderate cardiomegaly , stable . Prominent interstitial markings appear chronic and likely due to chronic congestion , no edema . No pleural effusion or pneumothorax .
    OUTPUT:
    
Stable moderate cardiomegaly and chronic pulmonary vascular congestion , no edema .