Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A dual - lead pacemaker / ICD device appears unchanged with the leads again terminating in the right atrium and ventricle . The heart appears mildly enlarged with a left ventricular configuration . The mediastinal and hilar contours appear unchanged . There is streaky opacity obscuring the left hemidiaphragm suggesting minor scarring or atelectasis . There is no evidence for pulmonary edema . There is persistent mild - to - moderate relative elevation of the right hemidiaphragm , compared to the left , particularly anteriorly , which may suggest an eventration . There are similar degenerative changes along the thoracic spine and suspected bony demineralization .
    OUTPUT:
    
No evidence of acute disease .