Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post median sternotomy and CABG . Left - sided AICD device with leads terminating in right atrium and right ventricle is unchanged . Heart size is mildly enlarged . The aorta remains tortuous with atherosclerotic calcifications again noted diffusely . Pulmonary vascularity is normal . The hilar contours are unremarkable . No pneumothorax or pleural effusion is seen . The lungs are clear . No acute osseous abnormalities are detected .
    OUTPUT:
    
No acute cardiopulmonary abnormality .