Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left cardiac device and it s three leads are in stable position . On the lateral radiograph , a possible fourth lead does not appear to be continuous with the generator at the level of the xiphoid . The patient is status post median sternotomy , and the heart size is normal . The lungs are clear without consolidation , pleural effusion or pulmonary edema . The mediastinal contours are normal .
    OUTPUT:
    
No acute cardiopulmonary process . Possible fourth epicardial lead fragment does not appear to be continuous with the generator on the lateral radiograph . Suggest correlation with operative report of lead placements .