Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . AICD unchanged with lead extending to the region the right ventricle . Midline sternotomy wires and mediastinal clips are again noted . Cardiomediastinal silhouette is stable with moderate cardiomegaly again noted . The lungs are clear . There is no focal consolidation , effusion , or pneumothorax . Imaged osseous structures are intact . No free air below the right hemidiaphragm is seen .
    OUTPUT:
    
Stable cardiomegaly . No signs of pneumonia .