Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no focal consolidation , pleural effusion or pneumothorax . The previously seen opacities projecting posteriorally on the lateral film are no longer seen . A left chest wall pacemaker is in place with leads in the right atrium and right ventricle . Cardiomediastinal silhouette is normal . Bony structures are unremarkable .
    OUTPUT:
    
No acute cardiopulmonary process or evidence of pneumonia .