Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest . There is chronic blunting of the right lateral costophrenic angle as on prior . Lungs are clear of focal consolidation or effusion . Cardiomediastinal silhouette is stable given differences in positioning . Cutaneous ICD lead seen with lead in unchanged position . Chronic deformities of the right posterior lateral ribs again seen . No definite acute osseous abnormalities .
    OUTPUT:
    
No definite acute cardiopulmonary process .