Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No focal consolidation is seen peer No pleural effusion or pneumothorax is seen . The cardiac and mediastinal silhouettes are stable . Dual lead left - sided pacemaker is again seen with leads in the expected positions of the right atrium and right ventricle .
    OUTPUT:
    
No acute cardiopulmonary process . ___ , MD ___=___