Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is stable enlargement of the cardiac silhouette . A right chest wall ICD is in unchanged position with the lead terminating the expected position of the right ventricle . The overall appearance of the chest is unchanged from ___ with chronic prominence of the pulmonary vascularity . No focal consolidation , pleural effusion or pneumothorax .
    OUTPUT:
    
Stable appearance of the chest with moderate enlargement of the cardiac silhouette . No focal consolidation or pneumothorax .