Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . Left chest wall tripolar pacer is again seen with leads extending into the region the right atrium , right ventricle and coronaries sinus . There is a right chest wall Port - A - Cath with catheter tip in the region of the mid SVC . Surgical anchors project over the right humeral head . Cervical fusion hardware partially visualized projecting over the lower neck . The lungs appear grossly clear . No large effusion or pneumothorax . Cardiomediastinal silhouette is unchanged . No acute osseous abnormality .
    OUTPUT:
    
No acute findings .