Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A dual lead pacemaker is noted . There is no discontinuity of the leads which are seen with tips projecting over the right atrium and right ventricle . The cardiac silhouette is enlarged . The pulmonary vasculature is unremarkable . There is no pleural effusion or pneumothorax . No consolidation is identified .
    OUTPUT:
    
No acute intrathoracic process .