Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a lead pacemaker / ICD device whose leads terminate in the right atrium and ventricle , respectively . The heart is mildly enlarged . The aorta is mildly tortuous . There are no pleural effusions or pneumothorax . The lungs appear clear . Small anterior osteophytes are present throughout the visualized thoracic spine .
    OUTPUT:
    
No evidence of acute disease .