Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Pacemaker projects over left pectoral region with lead tips in the right atrium and right ventricle . Sternotomy wires are intact , and vascular clips noted . Clear lungs without pneumothorax or pleural effusion . Heart size , mediastinal contour and hila are normal . No bony abnormality . There is a mildly distended stomach with air - fluid level .
    OUTPUT:
    
No radiographic evidence of acute cardiopulmonary disease .