Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left pectoral placed ICD / pacemaker is unchanged with leads terminating in the right atrium , right ventricle and past the coronary sinus . There is no evidence of lead fracture . Orthopedic hardware is seen in the right humerus . There is no pleural effusion , pneumothorax or focal airspace consolidation . The cardiac silhouette is mildly enlarged . The pulmonary vasculature is normal . The hilar and mediastinal structures are unchanged .
    OUTPUT:
    
No acute cardiopulmonary process .