Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Pacemaker projects over the right chest wall with leads extending to the region the right atrium and right ventricle . Midline sternotomy wires and prosthetic cardiac valve again noted . There is mild hilar engorgement without frank pulmonary edema . No focal consolidation , large effusion or pneumothorax . The cardiomediastinal silhouette is normal . Imaged osseous structures are intact . No free air below the right hemidiaphragm is seen .
    OUTPUT:
    
Mild hilar engorgement , otherwise unremarkable .