Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A pacemaker generator overlies the left anterior chest wall . Leads appear intact , terminating in respective location of the right atrium and right ventricle , unchanged from prior . Median sternotomy wires appear grossly intact . Surgical clips and wires are again noted . The lungs are clear . There is no focal consolidation or pneumothorax . There is no vascular congestion or pleural effusions . Cardiomediastinal and hilar contours are within normal limits and unchanged from prior .
    OUTPUT:
    
No acute cardiopulmonary process .