Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a dual lead pacemaker / ICD device in place with leads terminating in the right atrium and ventricle , respectively . The heart is normal in size . Mediastinal and high contours are unremarkable . There is no pleural effusion or pneumothorax . The lungs appear clear .
    OUTPUT:
    
No evidence of acute cardiopulmonary disease .