Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided demonstrating a left chest wall AICD with lead extending into the region of the right ventricle . Midline sternotomy wires , mediastinal clips are again noted . The inferior most sternotomy wire is fractured , which is unchanged . The heart remains mildly enlarged . There is no focal consolidation , effusion or pneumothorax . Lungs are hyperinflated with flattened diaphragms , compatible with underlying emphysema . No effusion is seen . There is no pneumothorax . Mediastinal contour is normal . Nipple shadows project over the lower lungs . No acute bony abnormalities are detected .
    OUTPUT:
    
Hyperinflated lungs without pneumonia , or edema . Stable mild cardiomegaly .