Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were provided . An AICD is unchanged with leads extending to the region of the right atrium and right ventricle . Midline sternotomy wires and mediastinal clips are again noted . Prominent epicardial fat pads likely account for the subtle effacement of the right and left heart border anteriorly . Right hilar prominence is less conspicuous than on prior exams . There is no convincing evidence of pneumonia , effusion or pneumothorax . No pulmonary edema . Heart size is normal . Mediastinal contour is stable . Bony structures are intact .
    OUTPUT:
    
No evidence of pneumonia .