Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A dual - lead pacemaker / ICD device has leads terminating in the right atrium and ventricle , respectively . The cardiac , mediastinal and hilar contours appear stable . The chest is hyperinflated . There is no pleural effusion or pneumothorax . The lungs appear clear . The bones appear probably demineralized .
    OUTPUT:
    
No evidence of acute cardiopulmonary disease .