Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest are compared to previous exam from ___ . Right chest wall dual - lead pacing device is again seen with lead tips in the right atrium and right ventricle . The lungs are clear of consolidation or pulmonary vascular congestion . Cardiomediastinal silhouette is within normal limits . Osseous and soft tissue structures are unchanged . Multiple surgical clips seen in the upper abdomen .
    OUTPUT:
    
No acute cardiopulmonary process .