Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is moderate cardiomegaly that is grossly unchanged from ___ . Cephalization of the pulmonary vasculature is compatible with mild pulmonary vascular congestion . Lungs are otherwise clear . There is no pleural effusion or focal opacity . Left chest wall AICD with transvenous pacer lead terminating in the expected location of the right ventricle . A right PICC terminates in the upper SVC . No pneumothorax .
    OUTPUT:
    
Moderate cardiomegaly , unchanged from ___ , with mild pulmonary vascular congestion , similar to the previous study . No evidence of pneumonia .