Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left chest wall dual lead pacing device is again seen . Cardiomediastinal silhouette is within normal limits . Prosthetic aortic valve and median sternotomy wires are again noted . There is right apical scarring . The lungs are otherwise clear without consolidation , effusion , or edema . Severe lower thoracic compression deformity is unchanged from prior .
    OUTPUT:
    
No acute cardiopulmonary process .