Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared to ___ , there is no significant change . The lungs are well expanded and clear . Moderate cardiomegaly is stable , though substantially decreased since ___ . There is no pleural abnormality . Mediastinal and hilar contours are unchanged . Left - sided single chamber ICD is unchanged in positioning .
    OUTPUT:
    
No significant interval change since ___ . No pneumothorax , pleural effusion .