Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Subcutaneous emphysema along the right lateral chest wall is stable . There is interval placement of a left pectoral single - chamber ICD with a right ventricular ICD lead terminating in the right ventricular apex . The course of the lead is unremarkable . The inspiratory lung volumes remain low . Retrocardiac opacification and bibasilar atelectasis is unchanged . Small bilateral pleural effusions are noted on the lateral view , which are likely little changed from prior frontal chest radiograph . There is no pneumothorax . The cardiac silhouette remains severely enlarged . The thoracic aorta is dilated and tortuous , as before .
    OUTPUT:
    
1 . Status post ICD placement with single lead in appropriate position . No pneumothorax . 2 . Small bilateral pleural effusions . 3 . Stable right chest wall subcutaneous emphysema .