Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest radiographs were obtained . The lungs are well expanded . There is no focal consolidation , effusion , or pneumothorax . A right upper lobe granuloma is stable . Mild cardiomegaly is similar . Dual - chamber pacing leads are in unchanged positions . Multi level thoracic spine osteophytes are stable .
    OUTPUT:
    
No acute cardiopulmonary process .