Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no focal consolidation , pleural effusion or pneumothorax . The cardiomediastinal silhouette is unchanged . A left chest wall pacemaker is seen with lead in the right ventricle . Median sternotomy wires are intact . Surgical clips are present in the left chest wall . There are no acute skeletal findings .
    OUTPUT:
    
No acute cardiopulmonary process .