Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a right pectoral pacemaker with leads terminating in the right atrium and right ventricle . There is a left IJ sheath which terminates in the mid SVC . Again visualized is the large calcified nodule at the right apex . No new focal consolidations . The pulmonary vasculature is normal . There is stable enlargement of the cardiac silhouette . There are no large pleural effusions . There is no pneumothorax . Orthopedic surgical hardware is partially visualized within the left shoulder .
    OUTPUT:
    
1 . No focal consolidations to suggest pneumonia . 2 . Unchanged large calcified nodule within the right apex . 3 . Stable cardiomegaly .