Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post right - sided pacemaker placement with leads terminating in the right atrium and right ventricle , unchanged . Left - sided central venous catheter tip terminates in the upper SVC , also unchanged . Heart size is top normal . Mediastinal and hilar contours are unchanged . Pulmonary vascularity is not engorged . No focal consolidation , pleural effusion or pneumothorax is present . Multilevel degenerative changes are noted in the thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary process .