Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ICD leads are seen with revised position of the right atrial lead noted . Moderate - to - severe cardiomegaly persists without signs of pulmonary edema . There is no focal consolidation . No pneumothorax is seen .
    OUTPUT:
    
No acute process with findings of right atrial lead revision and moderate - to - severe cardiomegaly as before .