Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Two - lead pacemaker appears unchanged . Median sternotomy wires appear intact . Cardiac and mediastinal silhouettes remains stable . Scarring is again noted in the right upper lobe . Otherwise , the lungs are clear with no evidence of a consolidation . There is no pleural effusion or pneumothorax . No acute fractures are identified .
    OUTPUT:
    
No acute cardiopulmonary process .