Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A single - lead pacemaker device appears unchanged with leads again terminating in the right ventricle in addition to epicardial leads . The heart is again enlarged . The cardiac , mediastinal and hilar contours appear unchanged . There is no pleural effusion or pneumothorax . The lungs appear clear . Mild loss in height of two mid thoracic vertebral bodies appears unchanged . The bones appear demineralized .
    OUTPUT:
    
No evidence of acute cardiopulmonary disease .