Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a left chest cardiac device with associated dual leads projecting over the right atrium and right ventricle in unchanged , generally appropriate configuration . There is a stable cardiomediastinal contour consistent with a mildly tortuous thoracic aorta and mild cardiomegaly . An opacity in the medial right lower lobe is unchanged in comparison to multiple prior chest x-rays dating back to at least ___ . There is no new focal lung consolidation . There is no pulmonary venous congestion or pulmonary edema . There is no pneumothorax or pleural effusion . Moderate thoracic spine degenerative change is noted on lateral view .
    OUTPUT:
    
1 . No definite acute cardiopulmonary process . No new focal lung consolidation . No evidence of pulmonary edema . No effusions . 2 . Stable mild cardiomegaly .