Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right - sided pectoral pacemaker is seen with leads terminating in the right atrium and right ventricle , expected locations . The heart is mildly enlarged , as before . There is mild tortuosity of the descending aorta . The lungs are well expanded . There is no focal consolidation , pleural effusion or pneumothorax . There is loss of height of the T11 vertebral body , as seen on prior examinations .
    OUTPUT:
    
No acute cardiopulmonary process .