Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . AICD unchanged with leads extending to the region the right atrium and right ventricle . Midline sternotomy wires and mediastinal clips are again noted . Cardiomegaly is again noted , mild with no convincing signs of pneumonia or edema . No large effusion or pneumothorax . Mediastinal contour is normal . No convincing signs of congestion . Subtle calcific density projecting adjacent to the AICD pack in also in the right mid lung may represent areas of pleural calcification though this is unclear . No acute bony injury . Chronic right seventh rib deformity noted .
    OUTPUT:
    
Mild cardiomegaly unchanged . No edema or pneumonia . Areas of calcification projecting over the left and right mid lung may reside within the pleural though a CT may be performed to further assess on a nonemergent basis .