Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: New metallic mesh is projected in the region of the aortic valve and is aortic valve prosthesis . Lung is well inflated and clear . There is no pleural effusion or pneumothorax . No sign of pulmonary edema . Heart size is still mildly enlarged . The aorta is elongated . Left pectoral pacemaker has leads following the expected course and ending in right atrium and right ventricle .
    OUTPUT:
    
New aortic valve , no acute cardiopulmonary processes .