Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest . Left chest wall dual - lead pacing device seen with lead tips in the right ventricular apex and right atrium , similar to prior . Lungs are clear without focal consolidation , effusion or pulmonary vascular congestion . The cardiomediastinal silhouette is within normal limits . Tortuous descending thoracic aorta is again noted . No acute osseous abnormality is identified .
    OUTPUT:
    
No acute cardiopulmonary process .