Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided pacer leads end in the right atrium and right ventricle . Moderate cardiomegaly has increased from prior . There is mild prominence of the central vasculature with cephalization of vessels . No overt pulmonary edema seen . There is no focal consolidation . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
Increased cardiomegaly with vascular engorgement . No overt pulmonary edema .