Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Pacemaker generator in the left chest wall with leads terminating in the right atrium and right ventricle . Lungs are grossly clear . The hemidiaphragms are mildly flattened . No pleural effusion or pneumothorax . Hilar and cardiomediastinal contours are normal .
    OUTPUT:
    
No acute cardiopulmonary process . There is mild flattening of the hemidiaphragms , however the lungs are not overinflated , unchanged from ___ .