Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Dual lead left - sided pacemaker is stable in position . There is mild elevation of the right hemidiaphragm and mild right basilar atelectasis . No focal consolidation is seen . No pleural effusion or pneumothorax is seen . The cardiac and mediastinal silhouettes are stable and unremarkable . . Multilevel osteophytes are seen along the thoracic spine , most prominent in the lower thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary process .