Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left chest cardiac device with lead tips in the right atrium and right ventricle appear similar to prior . Prosthetic heart valve is again seen . Pulmonary vascular congestion is mild . There is no focal consolidation , effusion or pneumothorax . The cardiomediastinal silhouette is normal . Sternal wires are intact . Compression deformities of multiple vertebral bodies is similar to prior .
    OUTPUT:
    
Pulmonary vascular congestion is mild .