Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral chest radiographs again demonstrate a left chest wall pacer device with a single lead overlying the right ventricle and severe cardiomegaly , unchanged compared to ___ . There has been interval removal of a right PICC . There is no focal consolidation , pleural effusion , or pneumothorax . The visualized upper abdomen is unremarkable .
    OUTPUT:
    
No acute cardiopulmonary process . Unchanged cardiomegaly .