Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a left - sided AICD with single lead following suspected course to the right ventricle . There is no pneumothorax or mediastinal widening . There is no focal consolidation or pleural effusion . Punctate radioopacities in the right lower lobe may represent old aspiration of barium . Moderate cardiomegaly is likely chronic .
    OUTPUT:
    
1 . Left - sided AICD with single lead following suspected course of the right ventricle . No pneumothorax or mediastinal widening . 2 . Punctate radiopacity is in the right lower lobe likely represents prior aspiration of barium . 3 . Moderate cardiomegaly , likely chronic .