Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left chest wall dual lead pacing device seen with lead tips in the right ventricular apex and right ventricle . The lungs are clear without consolidation , effusion , or vascular congestion . Cardiomediastinal silhouette is top - normal in size . No acute osseous abnormalities identified .
    OUTPUT:
    
No acute cardiopulmonary process .