Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are unchanged . There is no pleural effusion , pneumothorax or focal airspace consolidation . The cardiac silhouette is mildly enlarged . The mediastinal , hilar and pleural structures are unremarkable . A left pectoral pacemaker is present with leads terminating in right atrium and right ventricle . There is no lead fracture .
    OUTPUT:
    
No acute cardiopulmonary process .