Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: New left chest wall dual chamber pacemaker leads project over the right atrium and right ventricle . There is no pneumothorax . There are small bilateral pleural effusions and minimal bibasilar atelectasis . There is no focal consolidation or pulmonary edema . The cardiomediastinal silhouette is within normal limits with a stable prominent right cardiac fat pad .
    OUTPUT:
    
1 . New left chest wall dual chamber pacemaker in standard position without pneumothorax . 2 . Small bilateral pleural effusions .