Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest are obtained . Dual - lead left - sided pacemaker is again seen with leads in the expected positions of the atrium and right ventricle . Patient is status post median sternotomy and CABG . The cardiac silhouette remains enlarged . Mediastinal and hilar contours are stable . Known superior right lower lobe pulmonary nodule seen on CT from ___ is better evaluated on that study , and as recommended on that study , followup CT to resolution remains recommended . No definite focal consolidation is seen . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
1 . Persistently enlarged cardiac silhouette . Otherwise , no acute cardiopulmonary process . Please note that pulmonary nodule seen on recent prior CT from ___ is better appreciated on that study and followup recommendation per that study remains .