Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest dated ___ at 16 :53 are submitted .
    OUTPUT:
    
A single lead left pacer is again identified with the lead intact and terminating over the expected location of the right ventricle . Overall cardiac and mediastinal contours are stable . Lungs appear well inflated without evidence of focal airspace consolidation , pulmonary edema or pneumothorax . Minimal blunting of the right costophrenic angle suggestive of pleural thickening or a tiny effusion . Degenerative changes in the spine with unchanged fusion of two of the mid thoracic vertebrae which is likely congenital .