Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral radiographs of the chest again demonstrate a left chest wall ___ ICD device with a single lead terminating in the right ventricle . No pneumothorax is identified . Again noted is a tortuous and enlarged ascending and descending aorta . Again noted are the interstitial abnormalities most prominent in the left upper lobe and right middle to lower lobes . Cardiomegaly is again seen . Midline sternotomy wires are intact . No pleural effusions identified .
    OUTPUT:
    
Newly placed ___ ICD device with single lead in the right ventricle . No evidence of pneumothorax . Otherwise , unchanged exam compared to the prior radiograph .