Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Stable cardiomegaly . The cardiac borders and mediastinal silhouettes are normal without pleural effusion , pneumothorax , or focal consolidation . Left - sided AICD device appears unchanged with intact wires . Median sternotomy wires are intact unchanged .
    OUTPUT:
    
Unchanged left - sided AICD device without acute cardiopulmonary process .