Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is pulmonary vascular congestion without overt pulmonary edema or effusion . The cardiomediastinal silhouette is within normal limits . Right chest wall triple lead pacing device is again noted as well as a left chest wall port . No acute osseous abnormalities .
    OUTPUT:
    
Pulmonary vascular congestion .