Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are relatively low . Left chest wall dual lead pacing device is again seen . There is no confluent consolidation , effusion or overt pulmonary edema . Cardiomediastinal silhouette is within normal limits . Atherosclerotic calcifications again noted at the aortic arch . No acute osseous abnormalities .
    OUTPUT:
    
No acute cardiopulmonary process .