Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A biventricular pacemaker is noted with the leads in appropriate position . Cardiomediastinal silhouette is normal . The aorta is mildly tortuous . The lungs are clear with no evidence of consolidation , effusion , or pneumothorax . No acute fractures are identified .
    OUTPUT:
    
No acute cardiopulmonary process .