Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest . Left chest wall single lead pacing device again seen with the lead tip in the right ventricular apex . The lungs are clear of consolidation , vascular congestion , or effusion . Cardiomediastinal silhouette is stable . Median sternotomy wires again noted . Midthoracic dextroscoliosis is seen without acute osseous abnormality .
    OUTPUT:
    
No acute cardiopulmonary process .