Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and a dual lead pacemaker with the leads overlying the right atrium and ventricle . The lungs are well - aerated and clear . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
Normal chest radiograph with a dual lead pacemaker .