Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Dual - chamber pacemaker - ICD leads are in standard location . Heart size is moderately enlarged but stable . The lungs are clear with no evidence of pneumonia , pulmonary edema , or pleural effusion . No pneumothorax . Osseous structures are intact .
    OUTPUT:
    
Stable cardiomegaly with no evidence of pulmonary edema or pneumonia .