Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A generator is again noted in the left mid hemithorax , with leads ending in the supraclavicular region in the left side of the neck . Otherwise , the lungs are well expanded without focal lesions . Cardiomediastinal and hilar contours are unremarkable . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
No evidence of acute cardiopulmonary process .