Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest . Left PICC is no longer visualized . Pacing device projects over the lower mid chest wall with epicardial leads in unchanged position . The lungs are clear of focal consolidation , effusion , or pulmonary vascular congestion . Moderate cardiomegaly is again seen . Atherosclerotic calcifications noted at the aortic arch . No acute osseous abnormality is identified .
    OUTPUT:
    
Moderate cardiomegaly without superimposed acute cardiopulmonary process .