Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Study is slightly limited due to kyphotic positioning . A left - sided pacemaker device is noted with single lead terminating in the right ventricle , unchanged . Moderate to severe cardiomegaly persists . Mediastinal and hilar contours are unchanged and within normal limits . The pulmonary vascularity is normal . No focal consolidation , pleural effusion or pneumothorax is detected . No acute osseous abnormalities seen .
    OUTPUT:
    
No acute cardiopulmonary abnormality .