Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear of focal consolidation . There is no pleural effusion . Triple - lead pacing device is seen with lead tips in the right atrium , right ventricle , and coronary sinus . Calcification projects over the region of the left ventricle suggestive of prior infarct . Cardiomediastinal silhouette is otherwise unremarkable . Osseous and soft tissue structures are notable for hypertrophic changes in the spine .
    OUTPUT:
    
No acute cardiopulmonary process .