Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided pacemaker device with leads terminating in the right atrium and right ventricle is re - demonstrated . The heart size is normal . Aorta remains tortuous . The mediastinal and hilar contours are within normal limits . No pulmonary edema , focal consolidation or pneumothorax is seen . There is no pleural effusion . No acute osseous abnormalities demonstrated .
    OUTPUT:
    
No acute cardiopulmonary process .