Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Left chest wall pacer device is seen with leads extending into the right atrium and right ventricle region as on prior . The heart size is unchanged appearing top - normal . The aorta is markedly unfolded as on prior with atherosclerotic calcification at the knob . There is no focal consolidation , large effusion or pneumothorax . No signs of congestion or edema . Bony structures are intact .
    OUTPUT:
    
No acute findings .