Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest . Left dual - lead pacing device is seen with lead tips in stable position . The lungs are clear of focal consolidation or effusion . There is no frank pulmonary edema . Cardiac silhouette is enlarged , similar to prior . No acute osseous abnormality is detected .
    OUTPUT:
    
Cardiomegaly . No acute cardiopulmonary process .