Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is again seen a left upper chest device with associated single lead projecting in stable position . Stable appearance of multiple median sternotomy wires and surgical clips . The mediastinal silhouette is unchanged in appearance . The cardiac silhouette shows stable enlargement . There is no change in the appearance of the bilateral lungs , without evidence of any new focal consolidations . There is no overt pulmonary edema . There are no pneumothoraces or effusions .
    OUTPUT:
    
No pulmonary edema . Stable chest x-ray .