Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A dual lead pacemaker / ICD device appears unchanged with leads terminating in the right atrium and ventricle , respectively . The cardiac , mediastinal , and hilar contours appear stable . The extreme right costophrenic sulcus is partly excluded , but there is no evidence for pleural effusion or pneumothorax . Streaky opacity in the left lower lung suggests minor atelectasis , probably unchanged . Otherwise , the lungs appear clear .
    OUTPUT:
    
No evidence of acute cardiopulmonary disease .