Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left chest wall dual lead pacing device is seen with leads projecting over the right atrium and right ventricle . Intact median sternotomy wires and prosthetic valve are noted . There are dense atherosclerotic calcifications at the aortic arch . Cardiac silhouette is within normal limits . The lungs are clear without consolidation , effusion , or edema . Rounded calcific density projecting over the left lung base is likely a calcified granuloma . No acute osseous abnormalities .
    OUTPUT:
    
No acute cardiopulmonary process .