Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is enlarged with enlarged contours of the left ventricle and left atrium . Left - sided dual - chamber pacemaker is unchanged in position with leads terminating in the right atrium and right ventricle . There is a mild congestive pattern with an upper distribution . However , there is no evidence of severe pulmonary congestion or pleural effusions . The lungs are clear . There are no focal consolidations concerning for pneumonia . There is no pneumothorax . Sternotomy wires are intact . Cholecystectomy clips are seen in the right upper quadrant .
    OUTPUT:
    
No radiographic evidence of an acute cardiopulmonary process . These findings were discussed by Dr . ___ by Dr . ___ ___ telephone on ___ at 17 :00 , time of discovery .