Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well expanded and clear . There is mild cardiomegaly . Pacemaker leads are again seen in the right atrium and right ventricle . There is mild elevation of right hemidiaphragm , unchanged to prior exam . There is no pneumothorax or pleural effusion . Severe kyphosis of the thoracic spine is again noted . Mild compression deformities are seen lower thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary process .