Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post median sternotomy and CABG . Severe cardiomegaly is re - demonstrated . An abandoned right - sided pacing lead is again noted . Left - sided AICD / pacemaker device is noted with leads terminating in the right ventricle and coronary sinus . There is no pulmonary vascular congestion . No focal consolidation , pleural effusion or pneumothorax is identified . No acute osseous abnormalities are present . Right lateral pleural thickening is unchanged .
    OUTPUT:
    
No acute cardiopulmonary abnormality . Unchanged severe cardiomegaly without evidence of congestive heart failure .