Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were obtained . Again seen is a dual lead left chest wall pacemaker defibrillator with leads terminating in the right ventricle , unchanged . Cardiomediastinal and hilar contours appear stable . There is no pleural effusion or pneumothorax . Lungs are well expanded with no focal consolidation concerning for pneumonia . Patient is status post left upper lobectomy with evidence of volume loss in the left lung with chronic elevation of the left hemidiaphragm and scarring in the left hilar region .
    OUTPUT:
    
No acute cardiopulmonary process .