Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Dual lead right - sided pacemaker is again seen with lead extending to the expected positions of the right atrium and right ventricle . No new focal consolidation is seen . No pleural effusion or pneumothorax is seen . The cardiac and mediastinal silhouettes are unremarkable .
    OUTPUT:
    
No acute cardiopulmonary process .