Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post median sternotomy . Dual - lead left - sided AICD is again seen with leads extending to the expected positions of the right atrium and right ventricle , unchanged . A left ventricular assist device is in place , similar in position . There is mild enlargement of the cardiac silhouette . As noted in the prior study , there is right base , possibly right middle lobe opacity which actually appears decreased as compared to the prior study but persistent and could be due to underlying consolidation from pneumonia or aspiration ; there may be an associated small right pleural effusion . No overt pulmonary edema is seen . No pneumothorax is seen .
    OUTPUT:
    
No significant change in position or appearance of the left ventricular assist device . Persistent but decrease in right mid - to - lower lung opacity which could have been due to consolidation from infection or aspiration or atelectasis . Dedicated PA and lateral views would be helpful for further evaluation . Suggest followup to resolution . No overt pulmonary edema .