Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest . Left chest wall single - lead pacing device is again seen . The lungs are clear of focal consolidation , effusion , or overt pulmonary edema . The cardiac silhouette is enlarged but stable in configuration . Median sternotomy wires and mediastinal clips are again seen . No acute osseous abnormalities .
    OUTPUT:
    
No acute cardiopulmonary process .