Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are grossly clear were in not obscured by overlying devices , specifically a right chest wall dual lead pacing device and a left - sided vagal nerve stimulator . The cardiomediastinal silhouette is within normal limits . Calcified hilar / mediastinal nodes are suspected based on the lateral view . Atherosclerotic calcifications are noted in the thoracic aorta . Posterior fixation lower thoracic / upper lumbar hardware is visualized .
    OUTPUT:
    
No acute cardiopulmonary process .