Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: New transvenous pacemaker leads follow the expected courses to the right atrium and right ventricle . There is no pneumothorax , mediastinal widening or pleural effusion . A hazy opacity abutting the cardiac apex is larger today . Lungs are otherwise clear . Dilated main pulmonary artery is bigger , but , otherwise the cardiac configuration is normal .
    OUTPUT:
    
New dual lead pacemaker leads terminating in the right atrium and right ventricle . No complications . Possible lesion in the lingula . Recommend correlation with any other chest imaging available to see if a clinically significant , lung lesion can be excluded .