Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left chest wall single lead pacing device is again noted , with multiple mediastinal surgical clips and epicardial pacing wires . Heart size is enlarged but stable . Blunting of the left costophrenic angle is likely secondary to pleural thickening . No interstitial edema or evidence of pneumonia .
    OUTPUT:
    
Stable cardiomegaly . No evidence of pulmonary edema .