Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest demonstrates the lungs are well expanded and clear . There is a dual lead pacemaker device with leads terminating in the right atrium and right ventricle , as before . Additionally , a Port - A - Cath is in place projecting over the right chest , terminating in the mid to lower SVC , as before . There is no evidence of pneumothorax . Left apical pleural thickening is again seen , previously described is postradiation fibrosis . The breast shadows are asymmetrical , in keeping with left breast prosthesis . The cardiomediastinal silhouette is unremarkable and no focal pneumonia is present . There is no pleural effusion .
    OUTPUT:
    
No acute cardiopulmonary process .