Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are well - expanded and clear . Chronic blunting of the left costophrenic angle is not changed . Cardiomediastinal and hilar contours are stable . A dual lead pacemaker device is present , with leads ending in the right atrium and right ventricle . No pneumothorax , pleural effusion , or consolidation .
    OUTPUT:
    
No acute cardiopulmonary process .