Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were provided . Dual - lead pacer is unchanged with leads extending to the region of the right atrium and right ventricle . An implanted device is again noted projecting over the anterior mid chest wall . Cardiomediastinal silhouette is stable and normal . No signs of pneumonia or CHF . No effusion or pneumothorax . Bony structures are intact .
    OUTPUT:
    
No acute findings in the chest .