Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a two - lead pacemaker / ICD device in place with leads terminating in the right atrium and ventricle , respectively . The heart is at least borderline in size . There is no pleural effusion or pneumothorax . The lungs appear clear . The aortic arch is calcified . Degenerative changes affect each glenohumeral joint .
    OUTPUT:
    
No evidence of acute cardiopulmonary disease .