Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No significant interval change . Again seen aortic stent graft and triple lead left - sided pacer device . The lungs are clear without focal consolidation . No pleural effusion or pneumothorax is seen . The cardiac and mediastinal silhouettes are stable . No overt pulmonary edema is seen . Surgical hardware is noted in the lower cervical spine , although not well assessed .
    OUTPUT:
    
No acute cardiopulmonary process .