Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The placement of a dual lead pacemaker / ICD device with leads terminating in the right atrium and ventricle appears unchanged . The heart is mildly enlarged . The mediastinal and hilar contours appear unchanged . There is streaky right basilar opacities suggesting minor atelectasis or scarring , not significantly changed . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
Unchanged placement of pacemaker leads . No evidence of acute disease .