Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest radiographs are provided . There is no focal consolidation , pleural effusion , or pneumothorax . The cardiac silhouette is mildly enlarged , unchanged from the prior exam . A left chest wall pacemaker is present with leads in the right atrium and right ventricle . There are no acute fractures or traumatic malalignment .
    OUTPUT:
    
No acute cardiopulmonary process .