Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is little change in comparison to prior study from ___ . The lungs remain clear with no evidence of consolidation , effusion , or pneumothorax . The cardiomediastinal silhouette remains normal . Pacemaker leads remain in place . The osseous structures remain grossly unremarkable .
    OUTPUT:
    
No acute cardiopulmonary process .