Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest . No prior . Dual - lead pacing device seen with lead tips in the right atrium and right ventricle . Where not obscured by left chest wall pacing device , the lungs are clear . There is no effusion . Cardiac silhouette is top normal in size , potentially accentuated by low lung volumes . Hypertrophic changes seen in the spine . Osseous and soft tissue structures are unremarkable .
    OUTPUT:
    
No acute cardiopulmonary process .