Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The left chest to lead ICD device with intact ventricular and atrial leads in unchanged position from ___ . Postoperative mediastinum and enlarged cardiac silhouette are stable from ___ . Lung volumes are low the lungs are clear . Wedged deformities of several thoracic vertebral bodies are stable from ___ . No pneumothorax or pleural effusion .
    OUTPUT:
    
Unchanged ICD device with intact leads .