Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Dual lead pacemaker in similar position in the right atrium and right ventricle . Atherosclerotic coronary calcification is heavy . No pneumonia or pulmonary edema . No pleural effusions or pneumothorax . The cardiomediastinal silhouette is mildly enlarged . Multiple healing rib fractures on the right .
    OUTPUT:
    
Pacemaker leads in standard position .