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 are stable . There is no pleural effusion or pneumothorax . The lungs appear clear . A moderate anterior wedge compression deformity along the lower thoracic vertebral body appears stable . Mid thoracic interspaces are moderately narrowed with small - to - moderate anterior osteophytes , and several mid thoracic vertebral bodies show mild chronic - appearing loss in height .
    OUTPUT:
    
No evidence of acute disease .