Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable supine view of the chest . Left chest wall pacer is again noted with leads extending to the region the right atrium and right ventricle . Multiple overlying EKG leads are present . Cardiomegaly is unchanged . No supine evidence for effusion or pneumothorax . No definite signs of pneumonia or edema .
    OUTPUT:
    
Cardiomegaly without convincing signs of pneumonia or edema . If there is further concern dedicated PA and lateral view may be performed to better assess .