Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are fully expanded and clear . No pleural abnormalities . Heart size is top - normal . Cardiomediastinal and hilar silhouettes are normal . Dual - chamber pacemaker leads are unchanged in position , projecting over the right atrium and right ventricle . A right - sided IJ port and central venous catheter are unchanged , terminating near the cavoatrial junction .
    OUTPUT:
    
No acute cardiopulmonary abnormality .