Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest ___ at 08 : 50 are submitted . The lateral view is suboptimal due to overlying motion artifact .
    OUTPUT:
    
Interval placement of a dual lead left - sided pacing device with the leads terminating over the expected location of the right atrium and right ventricle , respectively . The heart remains stably enlarged . There is stable enlargement of the pulmonary artery suggesting underlying pulmonary arterial hypertension . The interstitium is more prominent as compared to ___ which suggests superimposed mild interstitial edema . Clinical correlation is recommended . Status post median sternotomy . No pneumothorax . Minimal blunting of both costophrenic angles may reflect tiny effusions or pleural thickening .