Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: New right - sided Port - A - Cath terminates near the cavoatrial junction . Left pectoral pacemaker with dual leads seen extending into in the region of the right atrium and right ventricle . Median sternotomy wires and prosthetic cardiac valve are noted . There is no focal consolidation , effusion , or pneumothorax . The cardiomediastinal silhouette is top normal .
    OUTPUT:
    
No acute cardiopulmonary process .