Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided AICD / pacemaker device is re - demonstrated with leads in unchanged positions . Mild enlargement of the cardiac silhouette is similar . Mediastinal and hilar contours are unremarkable and unchanged . Pulmonary vasculature is normal . Lungs are clear without focal consolidation . No pleural effusion , pneumothorax , or pulmonary edema is present . Moderate hypertrophic changes seen throughout the thoracic spine
    OUTPUT:
    
No acute cardiopulmonary abnormality .