Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Upright AP and lateral views of the chest provided . Dual lead pacemaker is seen projecting over the left chest wall with leads extending to the region of the right atrium and right ventricle . The lungs appear clear without focal consolidation , effusion or pneumothorax . The heart is top - normal in size . The mediastinal contour appears normal . No acute fractures are identified . Scoliosis and degenerative disease is pronounced in the upper lumbar spine though only partially imaged .
    OUTPUT:
    
No acute findings .