Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: New left - sided pacemaker is seen in position , with leads appropriately terminating within the right atrium and ventricle . There is no pneumothorax . Cardiomediastinal silhouette is stable and within normal limits with a slightly tortuous aorta . There is no evidence of pulmonary edema or vascular congestion . There are no areas of focal consolidation , pleural effusion , or pneumothorax . Again seen are two rounded densities with incomplete borders which correspond to patient 's nipples which were marked on the previous study .
    OUTPUT:
    
Appropriately positioned left - sided pacemaker with leads terminating in the right atrium and right ventricle . No pneumothorax or other complications are identified .