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 AICD is again seen with leads extending to the expected position of the right ventricle . Moderate cardiomegaly persists . There is no overt pulmonary edema . Mediastinal and hilar contours are stable . No focal consolidation , pleural effusion , or evidence of pneumothorax is seen .
    OUTPUT:
    
No significant interval change . Persistent cardiomegaly , without overt pulmonary edema .