Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Dual lead AICD appears unchanged in position . There is no focal consolidation , edema or pneumothorax . Trace right pleural effusion is noted . Cardiomediastinal silhouette is stable with top - normal heart size . Imaged osseous structures are intact . No free air below the right hemidiaphragm is seen .
    OUTPUT:
    
Top normal heart size with trace right pleural effusion .