Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable view of the chest . Left chest wall triple - lead pacing device is now seen . The lungs are grossly clear , where not obscured by the pacer and cardiac leads . There is no evidence of pulmonary vascular congestion . Median sternotomy wires and mediastinal clips are again noted . Cardiomediastinal silhouette is stable . Multiple healed right - sided rib fractures are noted .
    OUTPUT:
    
No acute cardiopulmonary process .