Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided AICD device is again noted with leads in unchanged positions . Patient is status post median sternotomy , CABG , and pulmonic and tricuspid valve replacement . Cardiac silhouette size is normal . Mediastinal and hilar contours are unchanged . Pulmonary vasculature is not engorged . Lungs are clear without focal consolidation . No pleural effusion or pneumothorax is identified . No acute osseous abnormalities detected .
    OUTPUT:
    
No acute cardiopulmonary abnormality .