Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lower lung volumes seen on the current exam , accentuating degree of cardiomegaly which is not changed since prior . Multiple abandoned epicardial leads and right - sided vascular stents are again noted . There is no definite focal consolidation . Increased interstitial markings are likely accentuated by AP technique and lower lung volumes . No large effusion . Radiopaque coil projects over the left axilla . No acute osseous abnormalities .
    OUTPUT:
    
Likely stable degree of cardiomegaly . No definite focal consolidation .