Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided pacemaker device is noted with leads terminating in the right atrium , right ventricle , and region of the coronary sinus , unchanged . Right - sided Port - A - Cath tip terminates at the SVC / right atrial junction . Heart size is normal . Mediastinal and hilar contours are unremarkable . Pulmonary vasculature is not engorged . Lungs are clear without focal consolidation . No pleural effusion or pneumothorax is detected . Cervical spinal fusion hardware is incompletely imaged . Catheter tip terminating within the mid thoracic spine is unchanged .
    OUTPUT:
    
No acute cardiopulmonary abnormality .