Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided dual - chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle . Multiple clips project over the right anterior hemi thorax . Heart size is mildly enlarged . Mediastinal and hilar contours are unremarkable . Pulmonary vasculature normal . Lungs are clear . No focal consolidation , pleural effusion or pneumothorax is present . No acute osseous abnormality is visualized .
    OUTPUT:
    
No acute cardiopulmonary abnormality .