Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No change in positioning of the left - sided ICD with a lead projecting to the right ventricle . Compared with the prior study , interstitial lung markings are slightly more prominent , suggesting mild pulmonary vascular congestion . The cardiac silhouette is top normal . No pleural effusions or focal consolidation . No pneumothorax detected . Multiple old healed right rib fracture is again noted .
    OUTPUT:
    
Mild pulmonary vascular congestion is new since the prior chest radiograph .