Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post median sternotomy and CABG . A left - sided subcutaneous ICD is again noted with lead overlying the right ventricle . Moderate cardiomegaly is unchanged , in the mediastinal and hilar contours are within normal limits . Pulmonary vasculature is normal . Lungs are clear . No pleural effusion or pneumothorax is present . There are no acute osseous abnormalities identified .
    OUTPUT:
    
No acute cardiopulmonary abnormality .