Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . Dual - lead right - sided pacemaker is again seen with leads extending to the expected positions of the right atrium and right ventricle . Patient is status post median sternotomy and CABG . No focal consolidation is seen . There is no pleural effusion or pneumothorax . The aorta is calcified and tortuous . The cardiac silhouette is stable , remaining top normal to mildly enlarged .
    OUTPUT:
    
No acute cardiopulmonary process .