Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear without focal consolidation , effusion , or edema . Severe cardiomegaly is similar when compared to prior . Left chest wall single lead pacing device is seen with lead tip the right ventricle . Median sternotomy wires are intact . No acute osseous abnormalities .
    OUTPUT:
    
Cardiomegaly without superimposed acute cardiopulmonary process .