Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left chest wall pacing device is again seen , in stable position . Lead tips project over the right atrium and right ventricular apex . There is mild pulmonary vascular congestion which given differences in technique appears improved since prior . There is no effusion or focal consolidation . Moderate cardiomegaly is stable . No acute osseous abnormalities .
    OUTPUT:
    
Stable positioning of left chest wall dual lead pacing device . Pulmonary vascular congestion , no pulmonary effusion .