Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest . Left chest wall dual lead pacing device is again seen with leads in stable position . The lungs are clear of focal consolidation or effusion . There is no pneumothorax . Cardiomediastinal silhouette is stable . No acute osseous abnormality . No free air seen below the diaphragm .
    OUTPUT:
    
No acute cardiopulmonary process .