Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well aerated without focal consolidation , pleural effusion or pneumothorax . Previously noted pulmonary nodules seen on the prior chest CT are not well evaluated on this radiograph . There is no pulmonary edema . There is a left - sided cardiac pacing device with its leads projecting over the appropriate position of the right atrium and right ventricle . The cardiac silhouette is normal in size . The mediastinal and hilar contours are normal . No acute osseous abnormality is seen .
    OUTPUT:
    
No acute cardiopulmonary process .