Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Three portable views of the chest . Left chest wall dual lead pacing device again seen with leads in unchanged position . The lungs are clear of consolidation or pulmonary vascular congestion . Cardiomediastinal silhouette is unchanged noting unfolding of the descending thoracic aorta . No acute osseous abnormality detected .
    OUTPUT:
    
No acute cardiopulmonary process .