Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest are compared to previous exam from ___ . New dual - lead pacing device is seen with catheter tips in the right atrium and right ventricle . The lungs are clear of consolidation or effusion . Stable area of scarring is seen in the right upper lung on the frontal view . Cardiomediastinal silhouette is stable . Hypertrophic change is seen in the spine . Osseous and soft tissue structures are otherwise unremarkable .
    OUTPUT:
    
No acute cardiopulmonary process .