Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided PICC is seen terminating in the mid to low SVC without evidence of pneumothorax . Single lead left - sided AICD is stable in position , the inferior most aspect not well seen due to underpenetration . No pleural effusion is seen . There is no definite focal consolidation . Enlargement of the cardiac silhouette persists . Mediastinal contours are grossly stable .
    OUTPUT:
    
No focal consolidation to suggest pneumonia . Persistent enlargement of the cardiac silhouette .