Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left pectoral pacemaker has been placed with dual leads terminating in the right atrium and right ventricle . The course of the leads is unremarkable . There is no pneumothorax . The lungs are clear without focal consolidation or pleural effusion . The cardiac silhouette is mildly enlarged , but stable . A coronary stent is noted , likely within the left circumflex . The mediastinal and hilar contours are within normal limits . There is a compression deformity of an upper - to - mid thoracic vertebral body with severe kyphotic angulation of the thoracic spine at that level . Multilevel moderate degenerative changes are noted throughout the thoracic spine .
    OUTPUT:
    
Left pectoral pacemaker with dual leads in appropriate position .