Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest are compared to previous exam from ___ . Given differences in positioning and technique , there has been no significant interval change . There is no confluent consolidation or large effusion . Cardiac silhouette is enlarged but stable compared to prior . Single - lead pacing device is seen with single lead tips projecting over the right ventricle . Hypertrophic changes are seen in the spine .
    OUTPUT:
    
Cardiomegaly , but no acute cardiopulmonary process . No change from prior .