Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest are provided . Dual - lead pacemaker is in unchanged position . A metallic stent projects over the heart in the expected location of the aortic valve . Hardware is noted in the lower thoracic spine with evidence of vertebroplasty in a lower thoracic vertebral body . Cardiomegaly is unchanged . There is no definite sign of pulmonary edema . No pleural effusion or signs of pneumonia . Mediastinal contour is stable . Bony structures appear unchanged . A wedge deformity is seen just above the level of vertebroplasty in the lower T - spine which is unchanged .
    OUTPUT:
    
Cardiomegaly without signs of failure or edema . Other findings as described above .