Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient is status post transvenous pacemaker placement with leads running from the left pectoral generator and terminating in the right atrium and right ventricle . There is no pneumothorax , mediastinal widening , or pleural effusions . The lungs are hyperinflated with flattening of the diaphragm compatible patient 's known COPD .
    OUTPUT:
    
Patient is status post transvenous pacemaker placed from with leads terminating in the right atrium and right ventricle with lung findings stable from previous studies of ___ and ___ .