Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette is enlarged . A left - sided dual lead pacemaker is again seen with its leads terminating in the right atrium and right ventricle , expected locations . Lung volumes are decreased . There is no focal consolidation , pleural effusion or pneumothorax .
    OUTPUT:
    
No acute cardiopulmonary process .