Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: When compared with the immediate prior study of ___ , there is no significant change . Allowing for technique , moderate cardiomegaly is unchanged . The right chest wall dual chamber pacemaker leads project in unchanged position . There is no pneumothorax , focal consolidation , or pleural effusion .
    OUTPUT:
    
No evidence of acute cardiopulmonary process .