Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Aleft axillary pacemaker generator is seen with two intact leads following an appropriate course to the right atrium and proximal right ventricle respectively . The lungs are clear . The cardiomediastinal silhouette and hilar contours are unchanged . The pleural surfaces are normal without effusion or pneumothorax .
    OUTPUT:
    
Pacemaker and leads in appropriate position . No evidence of complications .