Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A dual - lead pacemaker / ICD device appears unchanged . The cardiac , mediastinal and hilar contours appear stable , including very mild tortuosity of the thoracic aorta . The heart is again normal in size . There is no pleural effusion or pneumothorax . The lungs appear clear .
    OUTPUT:
    
No evidence of acute cardiopulmonary disease .