Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright portable chest radiograph obtained . A dual - lead AICD projects over the left chest wall with lead tips extending into the right atrium and right ventricle as well as the tips extending along the epicardium at the level of the left atrium . There is mild pulmonary interstitial edema with cardiomegaly . No large pleural effusion is seen . No pneumothorax .
    OUTPUT:
    
Cardiomegaly with interstitial edema .