Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP view of the chest . Sternotomy wires and mediastinal clips are seen . Endotracheal tube ends at the thoracic inlet . Left - sided pacemaker with wires is seen . NG tube ends in the stomach . Enteric tube ends in the stomach . There is at least moderate cardiomegaly . No pleural effusions or pneumothorax is identified . No focal consolidation .
    OUTPUT:
    
Moderate to severe cardiomegaly .