Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Left AICD noted with leads extending to the region the right atrium and right ventricle . The heart is moderately enlarged . The aorta is markedly unfolded . Lungs are clear . No large effusion or pneumothorax . No signs of congestion , edema or pneumonia .
    OUTPUT:
    
Cardiomegaly with unfolded thoracic aorta .