Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Study is from ___ and radiograph was presented for review on ___ . Pacemaker projects over the left pectoral region with lead tip in the right atrium and apex of the right ventricle . Clear lungs bilaterally without pleural effusion or pneumothorax . Heart size is top normal with normal mediastinal contour and hila . No bony abnormality . Post-surgical change of the right humerus is again noted without additional bony abnormality .
    OUTPUT:
    
No radiographic evidence of acute cardiopulmonary process .