Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a new left - sided subcutaneous ICD , with the lead overlying the right ventricle . The patient is status post midline sternotomy and CABG . Mild to moderate cardiomegaly is unchanged . The azygos vein is distended . There is a small pleural effusion , side indeterminate . There is no pneumothorax . The lungs are clear .
    OUTPUT:
    
1 . New left - sided subcutaneous ICD lead overlies the right ventricle . 2 . Unchanged mild to moderate cardiomegaly . 3 . Small pleural effusion , side indeterminate .