Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Dual lead left - sided pacer is again seen at , unchanged in position . The patient is status post median sternotomy and CABG . The cardiac and mediastinal silhouettes are grossly stable . No pleural effusion or pneumothorax is seen . No definite focal consolidation . No overt pulmonary edema .
    OUTPUT:
    
Dual lead left - sided pacemaker with leads without significant change in position . Otherwise , no acute cardiopulmonary process .