Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Severe cardiomegaly is again noted . Left chest wall dual lead pacing device is again noted . The lungs are clear without pulmonary edema or effusion . There is no focal consolidation . Atherosclerotic calcifications are noted throughout the thoracic aorta . No acute osseous abnormalities .
    OUTPUT:
    
Severe cardiomegaly . No superimposed acute cardiopulmonary process .