Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral radiographs of the chest show intact median sternotomy wires with appropriately positioned atrial and ventricular ICD leads . LVAD device is seen overlying the left hemithorax and abdomen . The lungs are clear with no pleural effusions or pneumothorax . The lungs are hyperinflated with flattened diaphragms , consistent with emphysema . Heart size is enlarged with a tortuous descending aorta .
    OUTPUT:
    
No evidence of pulmonary edema , pneumonia , or pleural effusions .