Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest . The lungs are clear without consolidation , effusion , or pulmonary vascular congestion . Left chest wall dual lead pacing device seen with the tips in the right atrium and right ventricular apex . Median sternotomy wires and mediastinal clips are again seen . Cardiomediastinal silhouette unchanged noting mild cardiomegaly . No acute osseous abnormalities . Surgical clips project over the right axilla .
    OUTPUT:
    
No acute cardiopulmonary process .