Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart remains moderately enlarged with left ventricular predominance . A right - sided AICD / pacemaker device is again noted with leads in unchanged positions . Abandoned left - sided pacer leads are also noted . The aorta remains unfolded , and the mediastinal and hilar contours are unchanged . Pulmonary vascularity is normal . No pleural effusion or pneumothorax is seen . The lungs are clear . Mild loss of height of a low thoracic vertebral body is unchanged .
    OUTPUT:
    
No acute cardiopulmonary abnormality .