Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left chest wall stimulator device is seen with lead coursing cephalad into the left neck . The cardiac silhouette size is normal . The mediastinal and hilar contours are stable . The lungs are clear . No focal consolidation , pleural effusion , or pneumothorax is present . There are mild degenerative changes of the thoracic spine . Old distal right clavicular fracture is present .
    OUTPUT:
    
No acute cardiopulmonary abnormality .