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 heart is normal in size . There is similar mild unfolding and calcification along the aorta . There is no pleural effusion or pneumothorax . The lungs appear clear . Bony structures are unremarkable .
    OUTPUT:
    
No evidence of acute disease .