Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a dual - lead pacemaker / ICD device with leads terminating in the right atrium and ventricle , respectively . The trachea is again relatively large . The cardiac , mediastinal and hilar contours appear stable . No pleural effusion or pneumothorax . The lungs appear clear . Moderate degenerative changes are similar along the thoracic spine . The thoracic spine curves mildly to the right .
    OUTPUT:
    
No evidence of acute cardiopulmonary disease .