Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear of focal consolidation , effusion , or overt pulmonary edema . Cardiomegaly is again noted . Left chest wall dual lead pacing device with coronary artery and right ventricular leads are again noted . Prior Swan - Ganz via right IJ central venous line are no longer seen .
    OUTPUT:
    
Cardiomegaly without superimposed acute cardiopulmonary process .