Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . The patient is status post median sternotomy . Triple - lead left - sided AICD is in place in the interval , with leads extending to the positions of the right atrium , right ventricle , and coronary sinus . A tubular structure projects over the right hemithorax . No focal consolidation , pleural effusion , or evidence of pneumothorax is seen . Previously seen bilateral pleural effusions have resolved in the interval . Mild anterior wedging of a lower thoracic vertebral body is grossly stable . Degenerative changes are seen at the shoulder and acromioclavicular joints .
    OUTPUT:
    
No acute cardiopulmonary process .