Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear without focal consolidation , effusion , or edema . Moderate cardiomegaly is noted . Triple lead pacing device is seen with lead tips within the coronary sinus , right ventricular apex and right atrium . Atherosclerotic calcifications are noted in the aorta . No acute osseous abnormalities .
    OUTPUT:
    
Cardiomegaly without superimposed acute cardiopulmonary process .