Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A frontal and lateral view of the chest demonstrates transvenous pacer leads ending in the right atrium , right ventricle , with a third lead within the left ventricle . There are small bilateral pleural effusions . Tracheal deviation to the left likely relates to enlarged right thyroid seen on neck CT in ___ . The cardiomediastinal silhouette is stable . There is no pneumothorax .
    OUTPUT:
    
Pacer leads end in the right atrium , right ventricle , and left ventricle . No evidence of pneumothorax .