Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest are compared to previous exam from ___ . Right chest wall dual - lead pacing device again seen with lead tips in the right atrium and right ventricular apex . Nodular density in the right upper lung just medial to the pacing device is stable dating back to ___ . Probable calcified right hilar lymph node . The lungs are otherwise clear of consolidation or effusion . Cardiac silhouette is slightly enlarged but unchanged . Severe left glenohumeral joint degenerative changes are noted .
    OUTPUT:
    
No acute cardiopulmonary process .