Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a two - lead pacemaker / ICD device with leads terminating in the right atrium and ventricle , as before . Allowing for differences in technique , including moderate tortuosity of the aortic arch and descending aorta , the cardiac , mediastinal and hilar contours appear stable . The aorta is largely calcified . There is no pleural effusion or pneumothorax . The lungs appear clear . The visualized lower thoracic and upper lumbar levels show moderate - to - severe , but incompletely characterized degenerative changes .
    OUTPUT:
    
No evidence of acute cardiopulmonary disease .