Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well - expanded and clear . The cardiomediastinal silhouette is unchanged , with multiple mediastinal vascular clips , median sternotomy wires , and a dual lead pacemaker device unchanged in position , terminating in the right atrium and right ventricle . There is no pleural effusion , pneumothorax , pulmonary edema , or focal consolidation concerning for pneumonia .
    OUTPUT:
    
No acute cardiopulmonary process .