Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest . Right chest wall dual lead pacing device is again seen . The lungs are clear of focal consolidation , effusion , or pulmonary vascular congestion . Cardiac silhouette is stable in configuration . No acute osseous abnormalities . The degenerative changes again seen at the left shoulder .
    OUTPUT:
    
No acute cardiopulmonary process .