Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Prior right - sided central venous catheter is no longer visualized . Left chest wall single lead pacing device and multiple abandoned epicardial leads are again noted . Median sternotomy wires and mediastinal clips are noted . Cardiomediastinal silhouette is stable . There is no focal consolidation or pulmonary edema . There is no large effusion .
    OUTPUT:
    
No acute cardiopulmonary process ,