If Stalin does not get his first device until 1951-52 this makes a huge difference. Don't forget that it was a device not a deployable weapon. I can't see Stalin giving the OK to Kim the first to cross the border if the USA still has an atomic monopoly. As long as the USA has the monopoly Stalin's threat to Europe/NATO is much diminished. Also absent a Soviet bomb IF the war goes off when it did I expect Truman will be amenable to unifying Korea. Would the Chinese intervene as they did - hard to know, while Mao was not "afraid" of the bomb would he push forward without assurance of Soviet technical support, pilots, materiel, etc. Without a Soviet bomb Truman might very well be willing to have conventional attacks on the Chinese side of the Yalu.
Of course, without the Soviet atomic test, the modernization of the US arsenal will probably not proceed as rapidly as OTL - US atomic capabilities in 1948 were actually pretty poor, and making better and more useful weapons was accelerated with the Soviet test. In 1951-52 the US will be better off than in 1948, but will they be as advanced as OTL? Also, without an immediate Soviet threat will the shift to relying on an atomic force be as advanced as OTL. Will the supercarriers be cancelled as OTL? Will the army be as ignored as OTL?
Lots of butterflies busy flapping here.