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 ___ . The lungs are clear of new consolidation . Calcified nodule again seen in the left mid lung . Elevation of the left hemidiaphragm is noted . Cardiomediastinal silhouette is stable , notable for a triple - lead pacing device with leads in similar position compared to prior . Hypertrophic changes are noted in the spine . Osseous and soft tissue structures are unremarkable .
    OUTPUT:
    
No acute cardiopulmonary process .