Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest are provided . AICD noted with lead tips extending into the right atrium , right ventricle and likely within the coronary sinus . The lungs are clear , though hyperinflated , possibly reflecting underlying COPD . No focal consolidation , effusion , or pneumothorax is seen . The heart is within normal limits of size . Mediastinal contour is unremarkable . Bony structures appear intact .
    OUTPUT:
    
No acute findings in the chest .