Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post LVAD placement , with the cannula in unchanged positions . Left chest wall AICD , with biventricular pacemaker , is unchanged , with the leads in standard positions . Median sternotomy wires appear to be intact . Severe cardiomegaly is unchanged compared to the prior exam . No focal consolidations concerning for pneumonia are identified . There is no pleural effusion , or pneumothorax . The visualized osseous structures are unremarkable .
    OUTPUT:
    
No focal consolidations concerning for pneumonia identified .