Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post left - sided dual - chamber pacemaker with leads terminating in the right atrium and right ventricle , in unchanged positions . There is moderate cardiomegaly which is stable . The aorta is tortuous . The pulmonary vascularity is normal without edema . Calcified bilateral pleural plaques are redemonstrated . Lungs are clear without focal consolidation . No pleural effusion or pneumothorax is present . Degenerative changes of the right glenohumeral and acromioclavicular joint are noted , with narrowing of the right subacromial space compatible with underlying rotator cuff disease .
    OUTPUT:
    
No acute cardiopulmonary abnormality . Bilateral calcified pleural plaques .