Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided dual - chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle . Moderate cardiomegaly is re - demonstrated along with tortuosity of the thoracic aorta . Mediastinal and hilar contours otherwise are stable . Lungs are clear . Pulmonary vasculature is normal . No pleural effusion or pneumothorax is present . No acute osseous abnormality is detected .
    OUTPUT:
    
No acute cardiopulmonary abnormality .