Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided dual - chamber ICD leads are unchanged . Low lung volumes accentuate the cardiac silhouette and pulmonary vasculature though there is moderate cardiomegaly with central pulmonary vascular engorgement and mild interstitial edema . There are no large effusions . There is no pneumothorax . Sternotomy wires remain in place with numerous clips from prior CABG .
    OUTPUT:
    
Cardiomegaly with central pulmonary vascular engorgement and mild interstitial edema .