Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left chest wall triple lead pacing device is identified . Additional pacer leads seen along the right chest wall as well . There is mild pulmonary vascular congestion without overt pulmonary edema nor effusion . Cardiac silhouette is moderately enlarged . Atherosclerotic calcifications are noted at the aortic arch . No acute osseous abnormalities .
    OUTPUT:
    
Moderate cardiomegaly with pulmonary vascular congestion .