Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left pectoral pacemaker / AICD with leads terminating in the right atrium and right ventricle is unchanged . There is no lead disruption or fracture . The lungs are clear . There is no pleural effusion , pneumothorax or focal airspace consolidation . The cardiac silhouette is top - normal in size but unchanged . The mediastinal and hilar structures are unremarkable . The pulmonary vasculature is normal .
    OUTPUT:
    
No acute cardiopulmonary process .