Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well expanded . There is no focal consolidation , pleural effusion or pneumothorax . A left chest wall pacemaker is present with leads in the right atrium and right ventricle . Median sternotomy wires are intact . The cardiomediastinal silhouette is within normal limits and the aorta is tortuous . Cervical spine fusion hardware is present and hypertrophic changes are noted in the thoracic spine . Imaged upper abdomen is unremarkable .
    OUTPUT:
    
No acute cardiopulmonary process .