Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest were provided . Dual - lead pacemaker is unchanged with leads extending into the region of the right atrium and right ventricle . The heart is top normal in size . Elevated right hemidiaphragm is noted on the lateral projection . There is no focal consolidation , effusion or pneumothorax seen . The mediastinal contour is stable . The bony structures appear intact .
    OUTPUT:
    
Cardiomegaly , mildly elevated right hemidiaphragm . Otherwise , unremarkable exam .