Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Transvenous right pacer lead follows the expected course into the right ventricle . Moderate to severe cardiomegaly is unchanged . Prominence of the pulmonary vasculature , is unchanged , and compatible with mild vascular congestion . There is no focal lung consolidation . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
Unchanged appearance of the chest with moderate to severe cardiomegaly and mild vascular congestion . No focal consolidation .