Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette is mild - to - moderately enlarged . There is mild engorgement of the pulmonary vasculature . No definite focal consolidation or pneumothorax is identified . No large pleural effusions seen . A left - sided pacemaker is seen with its tip terminating in the right atrium and right ventricle , expected locations .
    OUTPUT:
    
Mild pulmonary vascular congestion and mild to moderate cardiomegaly . No consolidation .