Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest . Left chest wall single - lead pacing device is again seen . There is no overt pulmonary edema or significant change compared to prior given differences in technique . Degree of cardiomegaly is similar compared to prior . No pleural effusion . No acute osseous abnormality is identified .
    OUTPUT:
    
Cardiomegaly without superimposed acute cardiopulmonary process .