Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No change in the position of the BiV - ICD leads , which terminate in the right atrium , right ventricle , and epicardial vein of the left ventricle . Since the radiograph from the prior day , there has been no significant change . Unchanged bilateral pleural plaques , left clavicular old fracture , old left rib fractures , and bilateral apical caps are noted . No pneumothorax or new effusion .
    OUTPUT:
    
Bi - V ICD leads terminate in the right atrium , right ventricle , and left ventricle . No pneumothorax .