Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient is status post median sternotomy and left - sided AICD / pacemaker device with leads terminating in the right atrium , right ventricle , and region of the coronary sinus . Heart size is moderately enlarged . Mediastinal and hilar contours are within normal limits . The pulmonary vasculature is normal . Lungs are clear . No focal consolidation , pleural effusion or pneumothorax is present . No acute osseous abnormality is detected .
    OUTPUT:
    
No acute cardiopulmonary abnormality .