Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Massive cardiomegaly is unchanged . A single lead pacemaker is seen in the right ventricle . Mediastinal and hilar contours are normal . There is no pulmonary edema . There is no focal consolidation to suggest pneumonia . Calcifications are noted within the aortic arch . There is no pneumothorax or large pleural effusion .
    OUTPUT:
    
Unchanged massive cardiomegaly . No focal consolidation to suggest pneumonia .