Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient is status post of LVAD placement in unchanged position . Left chest wall AICD with leads in standard positions . Median sternotomy wires and clips again noted . The lungs are clear without focal consolidation . No pleural effusion or pneumothorax is seen . Severe cardiomegaly is unchanged .
    OUTPUT:
    
No acute cardiopulmonary process or evidence of pulmonary edema .