Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single AP portable radiograph of the chest . Left - sided AICD with lead in appropriate position . Median sternotomy wires are intact . There is stable moderate cardiomegaly . Small bilateral pleural effusions are unchanged . No new consolidation concerning for pneumonia is identified . There is no pneumothorax .
    OUTPUT:
    
No evidence of pneumonia or other acute pulmonary process .