Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: One AP view of the chest . There are low lung volumes . There is moderate cardiomegaly . A left - sided pacemaker is seen . Low lung volumes crowd the pulmonary vasculature . There appears to be slight increase in vascular markings consistent with pulmonary vascular engorgement . No focal consolidation .
    OUTPUT:
    
Findings suggest pulmonary vascular engorgement .