Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No interval change . The lungs are well inflated and clear . No pleural effusion or pneumothorax . Heart size , mediastinal contour , and hila are unremarkable . A left pacer device is seen with lead tips in the right atrium and right ventricle . EKG leads overlie the chest wall .
    OUTPUT:
    
No acute cardiopulmonary process . Specifically , no pneumonia .