Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest radiographs are provided . There is no focal consolidation , pleural effusion , or pneumothorax . Cardiac silhouette is top normal . A left chest wall pacemaker is seen with leads in the right atrium and right ventricle . Patient is status post valve replacement . Median sternotomy wires are intact . Patient is status post shoulder arthroplasty . There are no acute skeletal abnormalities .
    OUTPUT:
    
No acute cardiothoracic process .