Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: New lead can be seen originating from left pectoral pacing device , coursing medially and then inferiorly to the level of the right atrium at which point it can no longer be seen . There are low lung volumes bilaterally with associated bronchovascular crowding with no evidence of pulmonary edema . No pleural effusion , focal consolidation or pneumothorax . Pleural surfaces are unremarkable . The cardiomediastinal silhouette is stably enlarged .
    OUTPUT:
    
New ICD lead incompletely imaged . No pneumothorax . Recommend conventional PA and lateral radiographs for further evaluation .