Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with ___ , there is no significant change . SEVERE LEFT PLEURAL THICKENING , POSSIBLE CHRONIC PLEURAL EFFUSION AND / OR ROUNDED ATELECTASIS ARE STABLE . LUNGS ELSEWHERE ARE GROSSLY CLEAR . NO RIGHT PLEURAL EFFUSION . Mild cardiomegaly is stable . A left chest wall pacemaker is in place , with leads terminating in the right atrium and right ventricle .
    OUTPUT:
    
No acute cardiopulmonary process .