Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were provided . A tripolar AICD is again noted with leads extending into the region of right atrium , coronary sinus and right ventricle . The lungs are clear without focal consolidation , effusion or pneumothorax . The cardiomediastinal silhouette is normal . No pulmonary edema . Bony structures are intact . No free air below the right hemidiaphragm .
    OUTPUT:
    
No acute findings .