Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a three - dual - lead pacemaker / ICD device appears unchanged . The cardiac , mediastinal and hilar contours appear stable . Pleural thickening and calcification , along with volume loss , in the right mid to lower hemithorax , appear unchanged . The lung fields remain otherwise clear . There is no definite pleural effusion or pneumothorax . There has been no significant change .
    OUTPUT:
    
No evidence of acute cardiopulmonary disease .