Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is moderate cardiomegaly . Left chest wall dual lead pacing device seen with tips projecting over the right ventricle and right atrium . The lungs are clear where not obscured by overlying left chest wall pacing device , without focal consolidation , large effusion or edema . No visualized acute osseous abnormalities .
    OUTPUT:
    
Cardiomegaly without superimposed acute cardiopulmonary process .