Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left chest wall biventricular AICD , LVAD and sternotomy wires are unchanged . There is no focal consolidation , or pneumothorax . Unchanged mild pleural thickening versus trace bilateral pleural effusions . The size the cardiac silhouette is enlarged but unchanged .
    OUTPUT:
    
No significant interval change since the prior examination . No evidence of pulmonary edema .