Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest views were obtained with patient in upright position . Comparison is made with the next preceding PA and lateral chest examination of ___ . On the present frontal view , the patient makes a very poor inspirational effort resulting in high positioned diaphragms and thereto related crowded appearance of the basal pulmonary vasculature . Heart size is not increased and no pulmonary vascular congestion has developed . As before , a permanent pacer is located in left anterior axillary position being connected to a total of three intracavitary electrodes . One of these is an ICD device that terminates in the right ventricle . A second line is a probably abandoned old right ventricular electrode . A third electrode terminates in the right atrium lateral posterior wall area and is located in unchanged position and comparison is made with the previous examination one and a half years ago . Appearance of lungs is unchanged paying attention to differences in inspiratory degree . Acute parenchymal infiltrates or interstitial fibrosis changes can not be identified . No pneumothorax is seen in the apical area . The lateral and posterior pleural sinuses remain free .
    OUTPUT:
    
Stable chest findings , no significant interval change since ___ . No suspicious findings for amiodarone toxicity .