Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a new dual lead pacemaker with tips projecting over the expected location Cardiomediastinal contours are normal . The lungs are clear . There is no pneumothorax or pleural effusion . The osseous structures are unremarkable the colon is slightly distended with air as seen under the left hemidiaphragm measuring up to 6 .4 cm in greatest dimension
    OUTPUT:
    
No acute cardiopulmonary abnormalities . New pacemaker . Probable ileus