Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Dual lead left - sided pacemaker is again seen with leads extending to the expected positions of the right atrium and right ventricle . The cardiac and mediastinal silhouettes are stable . No focal consolidation is seen . There is no pneumothorax . Minimal blunting of the left costophrenic angle may be due to overlying soft tissue although trace pleural effusion is not excluded . Anchor screws are seen overlying the right humeral head .
    OUTPUT:
    
Slight blunting of the left costophrenic angle could be due to overlying soft tissue , but trace pleural effusion is not excluded . No focal consolidation .