Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The left chest wall single lead pacing device is again noted . Left - sided PICC tip is in the lower SVC . There is pulmonary vascular congestion without edema . There is no focal consolidation or effusion . Moderate cardiomegaly is again noted .
    OUTPUT:
    
Cardiomegaly without superimposed acute cardiopulmonary process .