Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear without focal consolidation . The cardiac silhouette is moderately enlarged . There may be trace pleural effusions . The patient 's arm overlies the chest on the lateral view , partially obscuring the view . Single lead left - sided AICD is seen with lead extending to the expected position of the right ventricle . No overt pulmonary edema .
    OUTPUT:
    
Moderate cardiomegaly and trace pleural effusions .