Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were provided demonstrating midline sternotomy wires and a dual - lead pacer which appear unchanged with lead extending into the region of the right atrium and right ventricle . Lungs are clear without signs of pneumonia or edema . No effusion or pneumothorax . Cardiomediastinal silhouette appears normal . The imaged bony structures are intact .
    OUTPUT:
    
No acute findings in the chest .