Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided dual - chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle . Heart size is normal . Atherosclerotic calcifications are demonstrated at the aortic knob . Mediastinal and hilar contours are unremarkable . Pulmonary vasculature is not engorged . Lungs are clear . No focal consolidation , pleural effusion or pneumothorax is detected . No acute osseous abnormalities are present .
    OUTPUT:
    
No acute cardiopulmonary abnormality .