Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a dual - lead pacemaker / ICD device with leads terminating in the right atrium and ventricle , respectively . There is mild unfolding of the thoracic aorta . The cardiac , mediastinal and hilar contours are otherwise unremarkable . There is no pleural effusion or pneumothorax . Fissures appear slightly thickened , but there is no evidence for parenchymal edema . Bilaterally , nipple shadows are visualized . Otherwise , the lung fields appear clear . Small - to - moderate osteophytes are noted along mid through lower thoracic spinal levels . The bones appear demineralized .
    OUTPUT:
    
No evidence of acute cardiopulmonary disease .