Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No focal consolidation , pleural effusion , pneumothorax , or pulmonary edema is seen . Large lung volumes are not new . Heart and mediastinal contours are stable . Dual - lead pacemaker appears similarly positioned with hardware projecting over the left upper outer chest , slightly limiting evaluation of the underlying lung parenchyma . Sternal wires appear intact . Right upper rib deformity is again noted .
    OUTPUT:
    
No radiographic evidence for acute cardiopulmonary process .