Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left - sided pacemaker with one right atrial and two right ventricular leads is in unchanged position . There is no evidence of a lead fracture . Epicardial leads are in unchanged position . The lungs are clear without consolidation or edema . There is no pleural effusion or pneumothorax . The cardiomediastinal silhouette is normal . No fracture is identified .
    OUTPUT:
    
No acute cardiopulmonary process . Unchanged position of the pacemaker and its leads .