Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP supine view of the chest provided . An AICD is again seen with lead tip extending into the region of the right ventricle . The heart is top normal in size . There are no convincing signs of pneumonia or edema . No pneumothorax or effusion . Mediastinal contour is normal . Midline sternotomy wires again noted . Bony structures are intact .
    OUTPUT:
    
Top normal heart size without signs of edema or pneumonia .