Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left - sided pacemaker / AICD is in unchanged position with the leads projecting over the right atrium , right ventricle , and coronary sinus . Median sternotomy wires appear intact . Scattered mediastinal clips are noted . Moderate - to - severe cardiomegaly is unchanged . Lungs are clear without confluent consolidation . There is no pulmonary edema or pleural effusions . No pneumothorax is identified .
    OUTPUT:
    
No acute cardiopulmonary process . No pneumonia .