Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Dual lead left - sided pacer device is again seen with leads extending to the expected positions of the right atrium and right ventricle , stable . The cardiac and mediastinal silhouettes are stable . No focal consolidation is seen . There is no pleural effusion or pneumothorax . No overt pulmonary edema is seen .
    OUTPUT:
    
No acute cardiopulmonary process . No significant interval change .