Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A two - lead pacemaker is noted with wires in appropriate position . Again noted is scarring in the left lower lobe . Otherwise , the lungs are clear with no evidence of consolidation , effusion , or pneumothorax . An ovoid density is again noted projecting over the right anterior fourth rib and stable dating back to ___ . Cardiomediastinal silhouette is normal . Multiple compression deformities are again noted throughout the upper and mid thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary process .