Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen is a left chest cardiac device with associated single lead appearing intact , and unchanged appropriate orientation projecting over the approximate location of the right ventricle . This appearance is similar in comparison to prior radiograph from ___ . Again seen are multiple median sternotomy wires and mediastinal surgical clips . Mild cardiomegaly is stable . The bilateral hila are unremarkable . There are low lung volumes . The lungs are clear . There is no evidence of pulmonary vascular congestion . There is no pneumothorax or pleural effusion .
    OUTPUT:
    
1 . Stable appearance of left chest cardiac device with associated single lead . No evidence of lead fracture or other complication . 2 . Stable mild cardiomegaly . No focal lung consolidation .