Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear without focal consolidation , effusion , or edema . Minimal left midlung atelectasis versus scar is again noted . Moderate cardiomegaly is again seen . Triple lead pacing device with leads in similar position , within the right ventricle , right atrium , and coronary sinus . No acute osseous abnormalities .
    OUTPUT:
    
Cardiomegaly without superimposed acute cardiopulmonary process .