Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided pacer device is noted with leads terminating in the right atrium and right ventricle . Patient is status post TAVR and coronary artery stenting . Heart size is normal . The aorta remains mildly tortuous with atherosclerotic calcifications noted at the aortic knob . Mediastinal and hilar contours are unremarkable . Lungs are clear . Pulmonary vasculature is not engorged . No pleural effusion or pneumothorax is seen . There are no acute osseous abnormalities .
    OUTPUT:
    
No acute cardiopulmonary abnormality .