Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is little change from prior study . There is no new parenchymal opacity to suggest pneumonia , and there is no vascular congestion or pulmonary edema to suggest congestive failure . A left pectoral pacer is in unchanged position , with a single transsubclavian lead extending to the right ventricle . There is no pleural effusion , and there is no pneumothorax . Heart size is unchanged , moderately enlarged . There is stable calcification and unfolding of the thoracic aorta . Moderate thoracic spondylosis is unchanged . No acute compression deformities .
    OUTPUT:
    
No acute cardiopulmonary process . No evidence of congestive hear failure as clinically questioned .