Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest provided . Dual - lead pacer is seen with lead tips extending to the region of the right atrium and right ventricle . The heart is mild to moderately enlarged with an LV configuration . No signs of CHF or pneumonia . No pleural effusion or pneumothorax . Bony structures are intact with degenerative spurring in the mid thoracic spine .
    OUTPUT:
    
Cardiomegaly without signs of congestive heart failure or pneumonia .