Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An AICD / pacemaker generator overlies the left chest wall . The leads appear intact and terminate in the expected locations of the right and left ventricles . The lungs are clear . There is no focal consolidation or pneumothorax . There is no vascular congestion or pleural effusions . Mediastinal and hilar contours are within normal limits . Moderate cardiomegaly , with disproportional enlargement of the right heart , is unchanged from prior .
    OUTPUT:
    
1 . Unchanged moderate cardiomegaly . Pacemaker / AICD leads intact and in standard position . 2 . No pulmonary edema or consolidation .