Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided pacemaker device is noted with leads terminating in the right atrium and right ventricle , unchanged . Heart size is top normal with dense mitral annular calcifications again noted . Mediastinal and hilar contours are normal . Lungs are clear and the pulmonary vasculature is normal . No pleural effusion or pneumothorax is seen . Clips from prior bilateral nephrectomies are noted in the upper abdomen .
    OUTPUT:
    
No acute cardiopulmonary abnormality .