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 again seen with lead tips in the right atrium and right ventricular apex . The lungs are clear without consolidation , effusion , or edema . Cardiomediastinal silhouette is stable . Hypertrophic changes again noted in the spine .
    OUTPUT:
    
No acute cardiopulmonary process .