Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest . No prior . The lungs are clear of focal consolidation or effusion . The cardiac silhouette is enlarged . Dual - lead pacing device is seen with lead tips in the right ventricular apex and right atrium . The osseous and soft tissue structures are grossly unremarkable , noting hypertrophic changes in the spine .
    OUTPUT:
    
Cardiomegaly , but no evidence of active failure or consolidation .