Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . Single - lead left - sided pacemaker is again seen with lead in the expected position of the right ventricle . The cardiac silhouette remains enlarged , similar to prior . The aorta is tortuous . Mild bibasilar atelectasis is seen . There is no focal consolidation , pleural effusion , or evidence of pneumothorax . No displaced fracture is seen . No overt pulmonary edema is seen .
    OUTPUT:
    
Persistent cardiomegaly without overt pulmonary edema .