Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A dual - lead pacemaker / ICD device has leads terminating in the right atrium and ventricle , respectively . The heart is mildly enlarged . There is no pleural effusion or pneumothorax . The lungs appear clear . Bones appear demineralized with mild degenerative changes again seen and unchanged throughout the thoracic spine . There has been no significant change .
    OUTPUT:
    
No evidence of acute cardiopulmonary disease .