Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were reviewed and compared to the prior study . Normal lungs without pulmonary edema , pleural effusion , or pneumothorax . Severe cardiomegaly is unchanged . Median sternal wires are intact and aligned . Left pectoral pacer has a defibrillator lead ending in the apex of the right ventricle and a pacer lead courses in the coronary sinus and ends in a vein adjacent to the left ventricle . An old right abandoned pacemaker lead is unchanged . Right - sided pleural thickening is most prominent over the seventh anterior rib and is unchanged .
    OUTPUT:
    
No radiographic evidence of pneumonia or pulmonary edema . Unchanged severe cardiomegaly .