Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided AICD device is again noted with leads terminating in the regions of the right atrium , right ventricle , and coronary sinus . Mild to moderate cardiomegaly with left ventricular predominance is again noted . The mediastinal and hilar contours are similar . There is no pulmonary edema . Increased interstitial opacities are most pronounced along the lung bases and the periphery compatible with a chronic interstitial abnormality , not substantially changed in the interval . No new focal consolidation , pleural effusion or pneumothorax is present . No acute osseous abnormalities detected .
    OUTPUT:
    
Chronic interstitial lung disease without new areas of focal consolidation . Mild to moderate cardiomegaly without congestive heart failure .