Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left chest wall dual lead pacing device is again seen . Cardiomegaly is similar in configuration compared to prior . There is no pulmonary edema or effusion . Median sternotomy wires are intact . No acute osseous abnormalities .
    OUTPUT:
    
Cardiomegaly without superimposed acute cardiopulmonary process .