Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right chest cardiac device with associated dual leads is unchanged in appearance . There is a mildly tortuous thoracic aorta . The cardiomediastinal contours are unchanged . The lungs are clear without focal consolidation . There is no pulmonary vascular congestion or pulmonary edema . There is no pneumothorax or pleural effusion .
    OUTPUT:
    
No acute cardiopulmonary process .