Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A single transvenous pacemaker lead is in unchanged position . Again , there are some fibrotic changes at the right apex , unchanged from the prior exam . The lungs are otherwise clear without a focal airspace consolidation or pulmonary edema . There is no pleural effusion or pneumothorax . The cardiomediastinal silhouette is normal . The heart size appears slightly larger than in the prior radiograph from ___ . No fracture is identified . A pectus cavum deformity is unchanged .
    OUTPUT:
    
No acute cardiopulmonary process .