Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . No focal consolidation , pleural effusion , or evidence of pneumothorax is seen . The cardiac and mediastinal silhouettes are unremarkable . A dual - lead left - sided pacemaker is again seen with leads in the expected positions of the right atrium and right ventricle .
    OUTPUT:
    
No acute cardiopulmonary process .