Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided Port - A - Cath tip terminates in the low SVC . Left - sided pacemaker device is noted with leads terminating in the right atrium , right ventricle , and region of the coronary sinus , unchanged . Additionally , day spinal stimulator device is noted with tip terminating at the mid / lower thoracic spine , as seen previously . Heart size is normal . Mediastinal and hilar contours are unremarkable . Pulmonary vasculature is normal . Lungs are clear . No focal consolidation , pleural effusion or pneumothorax is present . Cervical spinal fusion hardware is incompletely assessed . There are extensive degenerative changes noted in the thoracic spine . Multiple surgical anchors are project over the right humeral head .
    OUTPUT:
    
No acute cardiopulmonary abnormality .