Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen is a triple - lead left pacemaker with tips in unchanged position . Cardiomediastinal and hilar contours are stable . There is no pleural effusion or pneumothorax . Blunting of bilateral costophrenic angle is stable . There is no focal consolidation concerning for pneumonia . Pulmonary vasculature is within normal limits .
    OUTPUT:
    
No acute cardiopulmonary process .