Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . A right - sided PICC is seen , terminating at the region of the proximal SVC . Single - lead left - sided AICD is stable in position . The cardiac silhouette remains enlarged . The aorta is calcified and tortuous . No focal consolidation , pleural effusion , or evidence of pneumothorax is seen . There is at least one compression deformity at the lower thoracic spine , grossly similar to prior .
    OUTPUT:
    
Persistent enlargement of the cardiac silhouette . No overt pulmonary edema or focal consolidation .