Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral chest radiographs demonstrate well - expanded lungs . There is a calcified granuloma with adjacent scarring in the right upper lobe , which is unchanged from the prior study . The cardiomediastinal and hilar contours are unremarkable . No pneumothorax . An ICD is seen in place with the lead projecting over the right ventricle , heading towards the anterior wall . Median sternotomy wires are in place . Patient is status post cervical spine fixation .
    OUTPUT:
    
No pneumothorax . ICD lead in the right ventricle heading towards the anterior wall .