Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest . When compared to prior , there has been near complete resolution of the previously seen small pleural effusions . The lungs are clear without pulmonary vascular congestion . Left chest wall dual - lead pacing device is seen in unchanged position . Cardiomediastinal silhouette is within normal limits noting slight rotation to the right . No acute osseous abnormality is detected . Hypertrophic changes seen in the spine .
    OUTPUT:
    
No acute cardiopulmonary process .