Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Midline sternotomy wires and AICD again noted with LVAD again noted projecting over the cardiac apex . The lungs appear clear without focal consolidation , large effusion or pneumothorax . Cardiomediastinal silhouette is stable . Bony structures are intact .
    OUTPUT:
    
No signs of pneumonia .