Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . Left chest wall pacer is unchanged . Midline sternotomy wires are again noted . The heart remains moderately enlarged . There is mild congestion without frank pulmonary edema . No large effusion or pneumothorax . No convincing signs of pneumonia . Chronic right rib cage deformity is noted .
    OUTPUT:
    
Cardiomegaly with mild congestion .