Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Dual lead left - sided pacemaker is again seen with leads extending to the expected positions of the right atrium and right ventricle , unchanged . No new focal consolidation is seen . There is no pleural effusion or pneumothorax . The cardiac and mediastinal silhouettes are stable . No overt pulmonary edema is seen .
    OUTPUT:
    
No acute cardiopulmonary process .