Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . AICD again noted with pacer pack along the left chest wall and lead extending to the region of the right ventricle . Cardiomediastinal silhouette is stable with top - normal heart size . Lungs are clear without focal consolidation , effusion or pneumothorax . No pulmonary vascular congestion or edema . Per mediastinal and hilar contours appear normal . Bony structures are intact . No free air below the right hemidiaphragm .
    OUTPUT:
    
No acute findings .