Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Comparison is made to previous study from ___ . Heart size is enlarged and larger than on the prior study . There is a left - sided dual - lead pacemaker and multiple surgical clips that are unchanged . The lungs are grossly clear without focal consolidation , pleural effusions , or signs for overt pulmonary edema .
    OUTPUT:
    
1 . Cardiomegaly which is slightly increased since the prior study . 2 . Grossly clear lungs .