Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest are compared to previous exam from ___ . There is massive cardiomegaly , similar to previous exam . Dual - lead pacing device again noted as well as right - sided dual - lumen central catheter . There is indistinct pulmonary vascular marking seen throughout , suggestive of pulmonary vascular congestion without frank pulmonary edema . There is no pleural effusion . Osseous and soft tissue structures are unchanged .
    OUTPUT:
    
Stable massive cardiomegaly with mild pulmonary vascular congestion .