Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest provided . Left chest wall dual lead pacer again seen with leads extending to the region the right atrium and right ventricle . The lungs are clear without focal consolidation , large effusion or pneumothorax . Cardiomediastinal silhouette appears stable from prior . No discrete fracture identified .
    OUTPUT:
    
No acute findings .