Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal and hilar contours are stable . Note is made of a left chest wall dual - lead pacemaker defibrillator with tips terminating in the right atrium and right ventricle as expected . There is no pleural effusion or pneumothorax . The lungs are well expanded without focal consolidation concerning for pneumonia . Three rounded densities in the right mid lung field are very similar to that seen on prior chest radiograph from ___ and likely represent sequela of prior granulomatous infection .
    OUTPUT:
    
No acute cardiopulmonary process .