Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Triple lead left - sided AICD is again seen with leads unchanged in position . The patient is status post median sternotomy and CABG . The cardiac silhouette remains mildly enlarged . The aorta is calcified and tortuous . No focal consolidation , pleural effusion , or evidence of pneumothorax is seen . There is no overt pulmonary edema .
    OUTPUT:
    
No acute cardiopulmonary process .