Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . There has been interval removal of previously seen right - sided PICC . Dual - lead left - sided pacer is again seen , unchanged in position , with leads in expected positions of the right atrium and ventricle . Bilateral calcified pleural and diaphragmatic plaques are again seen . No focal consolidation , pleural effusion , or evidence of pneumothorax is seen . The aorta remains calcified and tortuous . Cardiac silhouette is top normal . Overall , given differences in inspiration and technique , the cardiomediastinal silhouette is stable .
    OUTPUT:
    
No acute cardiopulmonary process .