Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Permanent pacemaker remains in place , with leads terminating in the right atrium and right ventricle with similar orientation and position compared to the prior radiograph when allowances are made for positional differences . Heart size is normal . Lungs and pleural surfaces are clear .
    OUTPUT:
    
No acute cardiopulmonary radiographic abnormality .