Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest are compared to previous exam from ___ . The lungs remain clear of focal consolidation . There is no effusion . Cardiac silhouette is enlarged but stable in configuration . Dual - lead pacing device is again noted . Osseous and soft tissue structures are unchanged .
    OUTPUT:
    
Cardiomegaly , but no acute cardiopulmonary process .