Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a dual lead pacemaker / ICD device with leads again terminating in the right atrium and ventricle , respectively . The cardiac , mediastinal and hilar contours appear stable . There is no pleural effusion or pneumothorax . Chin flexion partly obscures the right lung apex , but visualized lung fields appear clear .
    OUTPUT:
    
No evidence of acute cardiopulmonary disease .