Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left chest wall dual lead pacing device is again noted . The lungs are clear of consolidation or effusion . The cardiomediastinal silhouette is within normal limits . Coronary stents are identified . Median sternotomy wires and mediastinal clips are again noted . No acute osseous abnormalities identified .
    OUTPUT:
    
No acute cardiopulmonary process