Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left chest wall dual lead pacing device is seen with lead tips in the right atrium and right ventricular apex . The cardiomediastinal silhouette is within normal limits . There is tortuosity of the thoracic aorta and atherosclerotic calcifications at the arch . The lungs are clear without focal consolidation , effusion , or edema . There is mild compression deformity of a lower thoracic vertebral body , age indeterminate .
    OUTPUT:
    
No acute cardiopulmonary process . No focal consolidation .