Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Chest , PA and lateral . The lungs are clear . There is moderate cardiomegaly . The hilar and mediastinal contours are otherwise normal . There is no pneumothorax or pleural effusion . The pulmonary vascularity is normal . There are surgical changes associated with the patient 's history of CABG . There is a dual - lead implanted pacemaker . The configuration of the device is somewhat unusual in that it appears rotated ___ degrees laterally within the pocket .
    OUTPUT:
    
No acute cardiopulmonary process .