Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a dual lead pacemaker / ICD device with leads terminating in the right atrium and ventricle , respectively . The cardiac , mediastinal and hilar contours appear stable . There is no pleural effusion or pneumothorax . The lungs appear clear . Mild to moderate rightward convex curvature to the thoracic spine appears unchanged .
    OUTPUT:
    
No evidence of acute cardiopulmonary disease .