Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest . Left - sided pacemaker is in place , and the leads are stable in position . There is no focal consolidation , pleural effusion , or pneumothorax . There is mild to moderate cardiomegaly , unchanged . The mediastinal and hilar contours are normal .
    OUTPUT:
    
Persistent cardiomegaly . No acute cardiopulmonary process .