Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post median sternotomy and CABG . Left - sided dual - chamber pacemaker device is noted with leads terminating in right atrium ___ ___ ventricle . The lungs are clear and the pulmonary vasculature is normal . No pleural effusion or pneumothorax is seen . There are no acute osseous abnormalities .
    OUTPUT:
    
No acute cardiopulmonary process .