Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided dual - chamber pacemaker device is again noted with leads terminating in the right atrium and right ventricle . Mild cardiomegaly is re - demonstrated . The mediastinal and hilar contours are unchanged . Mild pulmonary vascular congestion is new in the interval . No focal consolidation or pleural effusion is noted . The osseous structures are diffusely demineralized with multiple mid thoracic spine vertebral compression deformities again noted .
    OUTPUT:
    
No radiographic evidence for pneumonia . Mild pulmonary vascular congestion .