Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest . Left chest wall dual lead pacing device is again seen . The lungs are clear consolidation or pulmonary vascular congestion . There is no effusion or pneumothorax . Cardiomegaly is again seen . No acute osseous abnormalities detected .
    OUTPUT:
    
No acute cardiopulmonary process . Cardiomegaly .