Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left chest wall dual lead pacing device is seen with leads in the right atrium and right ventricular apex . Cardiac silhouette is within normal limits . The lungs are clear without consolidation , effusion , or edema . Hypertrophic changes noted in the spine . No acute osseous abnormalities .
    OUTPUT:
    
No acute cardiopulmonary process .