Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no focal consolidation , pleural effusion or pneumothorax . There is stable cardiomegaly . There is a ventricular pacemaker in the left chest wall with leads ending in the apical portion of the right ventricle and a second lead coursing through the coronary sinus into a left coronary vein . Mediastinum is unremarkable . Osseous structures are notable for old healed left clavicular fracture and multiple healed rib fractures .
    OUTPUT:
    
No acute cardiopulmonary process .