Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left - sided chest wall pulse generator is present , with leads terminating in the right atrium and right ventricle . There is no evidence of lead fracture or abandoned leads . Lungs are well - expanded and clear . The cardiomediastinal silhouette is unremarkable . There is no pleural effusion , pulmonary edema , pneumothorax , or focal airspace consolidation . Partially visualized extensive posterior fusion hardware is noted in the spine , as well as prior kyphoplasty material in the lower thoracic spine . Cholecystectomy clips are present in the right upper quadrant .
    OUTPUT:
    
No acute cardiopulmonary process .