Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided AICD device is noted with lead terminating in the region of the right ventricle . Heart size is top normal . Mediastinal and hilar contours are unremarkable . Pulmonary vasculature is normal . Minimal atelectasis is seen at the lung bases . No focal consolidation , pleural effusion or pneumothorax is identified . Multilevel degenerative changes are noted in the thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary abnormality .