Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest are compared to previous exam from ___ . Improved inspiratory effort is seen on the current exam . The lungs are clear of consolidation , effusion , or pulmonary vascular congestion . The cardiomediastinal silhouette is unchanged , noting a tortuous descending thoracic aorta with atherosclerotic calcifications . Dual - lead pacing device is seen with lead tips in the right atrium and right ventricle . The osseous and soft tissue structures are unchanged .
    OUTPUT:
    
No acute cardiopulmonary process .