Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left - sided pacemaker / AICD with multiple leads is again seen . Cardiomediastinal and hilar contours are within normal limits . There is no focal consolidation , pleural effusion , pulmonary edema or pneumothorax . No acute bony abnormality is appreciated . There are incompletely visualized degenerative changes of the right glenohumeral joint .
    OUTPUT:
    
No acute cardiopulmonary process .