Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . Tripolar AICD is unchanged with leads extending to the region of the right atrium , right ventricle and coronary sinus . Heart size is top - normal . There is no focal consolidation , effusion or pneumothorax . No convincing signs of pulmonary edema . Bony structures are intact .
    OUTPUT:
    
Top - normal heart size . No signs of pneumonia or overt edema .