Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest are obtained . Dual - lead left - sided pacemaker is again seen with leads unchanged in position . There is biapical pleural thickening . No focal consolidation , pleural effusion , or evidence of pneumothorax is seen . The cardiac and mediastinal silhouettes are stable , as are the hilar contours .
    OUTPUT:
    
No acute cardiopulmonary process .