Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left chest wall single lead pacing device seen with tip in the right ventricle . The lungs are hyperinflated but clear . There is no large effusion or pulmonary vascular congestion . The cardiomediastinal silhouette is within normal limits . Tortuosity of the descending thoracic aorta is noted . No acute osseous abnormalities .
    OUTPUT:
    
No acute cardiopulmonary process .