Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . Left chest wall AICD noted with lead extending to the region the right ventricle . Multiple abandoned leads project over the cardiac silhouette . Midline sternotomy wires and mediastinal clips are again noted . Heart is stably enlarged . No convincing evidence for edema . There is a tiny left pleural effusion . Right CP angle is excluded though no large effusion is seen . No pneumothorax . No overt edema or pneumonia . Mediastinal contour appears grossly stable . Bony structures intact .
    OUTPUT:
    
Stable cardiomegaly with tiny left pleural effusion .