Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided dual - chamber AICD / pacemaker device is re - demonstrated with leads terminating in the right atrium and right ventricle , unchanged . Moderate cardiomegaly is unchanged . The mediastinal and hilar contours are normal . Pulmonary vasculature is normal . Lungs are hyperinflated but clear without focal consolidation . No pleural effusion or pneumothorax is present . Calcifications adjacent to the right superolateral humeral head may reflect calcific tendinopathy .
    OUTPUT:
    
No acute cardiopulmonary abnormality .