Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Left chest wall AICD again noted with leads extending to the region the right atrium and right ventricle . A small coronary stent projects over the heart . Midline sternotomy wires and mediastinal clips are also again noted . Lungs are clear . No signs of effusion or pneumothorax . No signs of pneumonia or edema . Cardiomediastinal silhouette appears normal . Bony structures are intact .
    OUTPUT:
    
No acute findings .