Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: New left pectoral pacemaker has two leads . The first one is in adequate position in the right atrium , the second one seems to be high for a ventricular lead . If it was not intended to be in the sinus coronary , a standard PA and lateral chest x-ray is suggested to assess the exact position . The lung volumes are low . There is no pneumothorax or pleural effusion .
    OUTPUT:
    
Patient had new left - sided pacemaker placement . The atrial lead is in adequate position . The second lead is slightly superior than expected for a ventricular position . A standard PA and lateral chest x-ray has been suggested to Dr . ___ .