Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left chest wall dual lead pacing device is again seen . The lungs are clear . The cardiomediastinal silhouette is within normal limits . Surgical clips seen at the lower aspect of the neck on the right . No acute osseous abnormalities identified . Surgical clips in the right upper quadrant .
    OUTPUT:
    
No acute cardiopulmonary process .