Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest provided . Dual lead pacemaker as again noted unchanged in position with leads extending to the region of the right from in right ventricle . Core valve implant again noted . Stable elevation of the right hemidiaphragm . There is no focal consolidation , effusion , or pneumothorax . The cardiomediastinal silhouette is stable . Imaged osseous structures are intact . No free air below the right hemidiaphragm is seen .
    OUTPUT:
    
No acute intrathoracic process .