Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Dual lead left - sided pacer device is stable in position . The cardiac silhouette remains stably enlarged . Mediastinal contours are stable . No new focal consolidation is seen . There is no pleural effusion or pneumothorax . There is central vascular engorgement without overt pulmonary edema .
    OUTPUT:
    
Central pulmonary vascular engorgement without overt pulmonary edema . Persistent cardiomegaly .