Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest are compared to previous exam from ___ . Again seen is elevation of left hemidiaphragm . The lungs are clear of consolidation , effusion , or pulmonary vascular congestion . Left chest wall dual - lead pacing device is seen with lead tips in unchanged position . No acute osseous abnormality detected .
    OUTPUT:
    
No acute cardiopulmonary process .