Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest are compared to previous exam from ___ . Compared with prior , there has been no significant interval change . The lungs remain clear . There is no pleural effusion . There is no pulmonary vascular engorgement . Cardiac silhouette is enlarged , but stable in configuration . Biventricular pacing device again seen with multiple leads in stable positions . Atherosclerotic calcifications seen throughout the aorta . Median sternotomy wires and mediastinal clips again noted .
    OUTPUT:
    
No acute cardiopulmonary process .