Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a dual - lead pacemaker / ICD device in place with leads again terminating in the right atrium and ventricle , respectively . The cardiac , mediastinal and hilar contours appear stable . There is no pleural effusion or pneumothorax . A coarse interstitial abnormality appears unchanged with no new focal opacification . Right - sided rib deformities are unchanged as well as a prior fracture of the proximal right humerus with remodeling . There was also non-united right clavicle fracture . A mild lower thoracic anterior wedge compression deformity appears stable . The lateral view also partly depicts the cervical spine where there is slight spondylolisthesis of C2 on C3 and mild kyphotic angulation above the site of prior anterior fusion spanning the C5 through C7 levels . Although there is no clear evidence for change , cervical spine findings are not optimally assessed on these images . Bony findings appear unchanged .
    OUTPUT:
    
No evidence of acute cardiopulmonary disease .