Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A dual lead pacemaker is noted overlying the left chest with leads in the expected location . The cardiac silhouette is mildly enlarged , stable from prior examination . There is no evidence of focal consolidation , pleural effusion , or pneumothorax . Mild central vascular congestion has minimally changed .
    OUTPUT:
    
Stable , mild cardiomegaly and central vascular congestion without frank edema or pleural effusion .