Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is significantly rotated . The pacer leads are in unchanged position . The lungs are clear . No consolidation , pulmonary edema , pleural effusions , or pneumothorax . Severe cardiomegaly is chronic and unchanged .
    OUTPUT:
    
Unchanged severe cardiomegaly . Otherwise no acute cardiopulmonary process .