Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided AICD device is noted with lead projecting over the right ventricle . Moderate to severe cardiomegaly is unchanged . Mediastinal and hilar contours are similar with mild pulmonary vascular congestion appearing chronic . No focal consolidation , pleural effusion or pneumothorax is identified . There are no acute osseous abnormalities .
    OUTPUT:
    
Moderate to severe cardiomegaly with mild chronic pulmonary vascular congestion .