Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest were provided . Left chest wall pacer pack is again seen with leads extending into the right heart . Abandoned pacing leads are also noted in the right chest wall extending into the right heart . The heart remains moderately enlarged . Lung volumes are low , with equivocal ground - glass opacity on the frontal view , which appears less conspicuous on the lateral view most likely attributable to underpenetrated technique . No gross evidence for pneumonia or pulmonary edema . No large effusions are seen . There is no pneumothorax . Bony structures are intact .
    OUTPUT:
    
Limited study demonstrating moderate cardiomegaly and no overt edema or pneumonia .