Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA AND LATERAL VIEWS OF THE CHEST . A pacemaker is seen implanted in the left chest wall with appropriate transvenous placement ending in the right atrium and right ventricle . There is no pneumothorax , pleural effusion , or consolidation . The cardiac , mediastinal and hilar contours are normal . Sternotomy wires are seen in appropriate position .
    OUTPUT:
    
1 . Appropriate placement of dual - chamber pacemaker leads . 2 . Otherwise normal radiographic examination of the chest .