FINDINGS:
New right-sided Port-A-Cath terminates near the cavoatrial junction.  Left
 pectoral pacemaker with dual leads seen extending into in the region of the
 right atrium and right ventricle. Median sternotomy wires and prosthetic
 cardiac valve are noted.
 There is no focal consolidation, effusion, or pneumothorax. The
 cardiomediastinal silhouette is top normal.

IMPRESSION:
No acute cardiopulmonary process.