Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable view of the chest . When compared to previous exam , there has been no significant interval change . The lungs are clear of confluent consolidation . Calcific densities projecting over the lung apices bilaterally suggestive of calcifications , potentially pleural - based . There is no evidence of overt pulmonary edema or large effusion . Cardiac silhouette is enlarged . Right chest wall pacer is seen with multiple leads . Leads from a previously removed left chest wall pacer is also seen . Enteric tube tip seen projecting over the gastric fundus . Cardiac silhouette is enlarged . No acute osseous abnormality detected noting hypoplastic 1st ribs bilaterally .
    OUTPUT:
    
Cardiomegaly without evidence of overt pulmonary edema .