Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral radiographs of the chest demonstrate well expanded clear lungs . Cardiomediastinal and hilar contours are unchanged . The heart size is normal . There is no pneumothorax , pleural effusion , consolidation , or pulmonary edema . An AICD is in unchanged position with leads extending to the region of right atrium right ventricle .
    OUTPUT:
    
No pleural effusion .