Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear of consolidation , effusion , or pneumothorax . Left chest wall dual lead pacing device is again seen . Moderate cardiomegaly is again noted . Upper thoracic dextroscoliosis is seen . No acute fracture identified based on this nondedicated exam . Surgical clips seen in the upper abdomen .
    OUTPUT:
    
Cardiomegaly without acute cardiopulmonary process .