Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left chest wall pacemaker is present with leads in the right atrium and right ventricle . The lungs are well expanded . There has been improvement in the previously noted pulmonary edema . There is scarring at the lung apices bilaterally . There is no focal consolidation , pleural effusion , or pneumothorax . The cardiac silhouette is mildly enlarged as seen previously . The bones are intact .
    OUTPUT:
    
No acute cardiopulmonary process .