Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are hyperinflated . The heart remains enlarged . Prominence of the right lower lobe vasculature is similar to prior studies . A pacemaker device is present , with leads ending in the region of the right atrium and right ventricle . No pneumothorax , pleural effusion or consolidation .
    OUTPUT:
    
No acute cardiopulmonary process .