Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiomegaly is stable . Mediastinal and hilar contours are unchanged . There is no evidence for pulmonary edema , pulmonary consolidation , pleural effusion or pneumothorax . Left - sided dual lead ICD is in place , unchanged in position .
    OUTPUT:
    
No acute change from ___ . No evidence of amiodarone toxicity .