Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Left chest wall AICD is again seen with leads extending into the right atrium and right ventricle . The heart is moderately enlarged . Hila appearing or urged . There is no overt pulmonary edema . No large effusion or pneumothorax . No focal consolidation concerning for pneumonia . The mediastinal contour is stable . Bony structures are intact . No free air below the right hemidiaphragm seen .
    OUTPUT:
    
Moderate cardiomegaly with pulmonary vascular congestion .