Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lateral view is suboptimal due to the patient 's overlying arm . There is a dual lead left - sided pacemaker again seen with leads extending to the expected positions of the right atrium and right ventricle . Mild cardiomegaly persists . Mediastinal and hilar contours are stable . No focal consolidation , pleural effusion , or evidence of pneumothorax is seen . There is no overt pulmonary edema .
    OUTPUT:
    
Suboptimal evaluation on the lateral view due to the patient 's overlying arm . Otherwise , no acute cardiopulmonary process .