Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest . Left triple - lead pacing device is seen with leads in unchanged position . The lungs are clear without focal consolidation , effusion or pulmonary vascular congestion . Cardiac silhouette is enlarged but stable in configuration . No acute osseous abnormalities .
    OUTPUT:
    
No acute cardiopulmonary process .