Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left chest wall dual lead pacing device is again seen . The lungs are clear of focal consolidation , effusion or edema . The cardiomediastinal silhouette is within normal limits . Tortuosity of the descending thoracic aorta is again noted . No acute osseous abnormality seen , right humeral head orthopedic hardware noted .
    OUTPUT:
    
No acute cardiopulmonary process .