Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left chest wall dual lead pacing device is again seen . The lungs are clear without consolidation or vascular congestion . The cardiac silhouette is mildly enlarged . Atherosclerotic calcifications noted at the aortic arch . No acute osseous abnormalities are identified .
    OUTPUT:
    
No acute cardiopulmonary process .