Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest provided . Dual - lead pacer is again seen with pacer pack projecting over the left chest wall . The lungs appear clear and well inflated . No large effusion or pneumothorax is seen . The cardiomediastinal silhouette appears stable with mild cardiomegaly redemonstrated . No definite osseous injury is seen . Extensive gaseous distention of bowel within the imaged portion of the upper abdomen is incidentally noted .
    OUTPUT:
    
No traumatic injury is seen .