Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left - sided ICD is again seen with a single lead terminating in the right ventricle . There is no evidence of pneumothorax . The cardiomediastinal contours are within normal limits . No focal consolidation or pleural effusion identified . Bilateral rib fractures are again seen .
    OUTPUT:
    
No evidence of pneumothorax .