Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate - to - severe cardiomegaly is unchanged . Mediastinal and hilar contours are stable . Left axillary pacemaker is present with tips terminating in the right atrium and right ventricle as expected . There is no pleural effusion or pneumothorax . Left basilar scarring or atelectasis is again noted . There is no focal consolidation concerning for pneumonia . Pulmonary vasculature is within normal limits .
    OUTPUT:
    
No acute cardiopulmonary process .