Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . Dual - lead left - sided pacemaker is again seen with leads extending into the expected position of the right atrium and right ventricle . No focal consolidation , pleural effusion , or evidence of pneumothorax is seen . The cardiac silhouette remains mildly enlarged . The aorta is calcified and tortuous . There is diffuse osteopenia .
    OUTPUT:
    
No acute cardiopulmonary process .