Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left pectoral pacemaker leads terminate in right atrium and right ventricle . No consolidation , pneumothorax , or pleural effusion is identified . Cardiomediastinal silhouette is normal size . Severe dextroscoliosis of the thoracic spine is noted .
    OUTPUT:
    
No acute cardiopulmonary process .