Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left chest wall triple lead pacing device is again noted . The lungs where not obscured are clear without consolidation , effusion , or edema . Moderate cardiomegaly is as noted on prior . Median sternotomy wires are intact . No acute osseous abnormalities identified .
    OUTPUT:
    
No acute cardiopulmonary process .