Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided pacemaker is seen with lead extending to the expected location of the right ventricle . The cardiac silhouette remains enlarged . The aorta is tortuous . The lungs are relatively hyperinflated . No focal consolidation is seen . There is no pleural effusion or pneumothorax . No pulmonary edema .
    OUTPUT:
    
No acute cardiopulmonary process .