Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest provided . Left chest wall pacemaker is seen with intact appearing leads extending to the region of the right atrium and right ventricle . Cardiomegaly is moderate . No focal consolidation , effusion or pneumothorax is seen . No overt edema . Mediastinal contour is within normal limits . No acute osseous injury .
    OUTPUT:
    
Moderate cardiomegaly without edema or pneumonia .