Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen is an abandoned ICD with leads ending in the right atrium , right ventricle and left ventricle . There is moderate cardiomegaly . The lungs are clear , the cardiomediastinal silhouette is otherwise normal . There is no change from ___ .
    OUTPUT:
    
Moderate cardiomegaly . No change from ___ .