Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left chest wall dual lead pacing device is again noted . The lungs are clear without focal consolidation , effusion , or pneumothorax . Cardiomediastinal silhouette is within normal limits . Old posterior left rib fractures are noted . There is no free intraperitoneal air . Lumbar spine intervertebral disc hardware is partially visualized .
    OUTPUT:
    
No acute cardiopulmonary process , no free intraperitoneal air .