Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left chest cardiac device with associated dual leads are seen projecting over the right atrium and right ventricle in grossly appropriate and unchanged location . In comparison to radiograph from ___ , there has been interval reduction in the size of the cardiac silhouette , now within normal limits . There is no evidence of mediastinal contour abnormality . The bilateral hila are grossly unremarkable . Subtle opacification overlying the lower third of the left lung on AP projection may relate to overlying soft tissue . A 7 mm rounded density adjacent to the right hilum may represent a calcified granuloma or more likely a vessel seen en face . Otherwise , the lungs are grossly clear , without CHF , focal consolidation , pleural effusion , or pneumothorax . Minimal atelectasis in the right cardiophrenic region . Is noted . The right hemidiaphragm is elevated , similar to the prior film .
    OUTPUT:
    
No acute cardiopulmonary process detected . No evidence of cardiomegaly or pulmonary vascular congestion .