Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear of consolidation , effusion , or pulmonary edema . Callus from healed anterior left fifth through seventh rib fractures are identified as well as prominent extrapleural fat on the right laterally . Left chest wall pacing device is again seen . Cardiac silhouette is moderately enlarged similar prior .
    OUTPUT:
    
No acute cardiopulmonary process .