Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . Dual - lead left - sided pacemaker is again seen with leads extending to the expected positions of the right atrium and right ventricle . Moderate cardiomegaly persists . Patient is status post median sternotomy and CABG . Mediastinal contours are stable . There is mild pulmonary vascular congestion . No definite focal consolidation . No pleural effusion or pneumothorax . There are multiple old right - sided rib fractures .
    OUTPUT:
    
Moderate cardiomegaly and mild pulmonary vascular congestion .