Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is new pacemaker with leads terminating in the right atrium and right ventricle . Cardiomediastinum and hilar silhouettes are stable . The lungs are well expanded and clear with the exception of a small granuloma in the left lung which is stable compared to prior . There is no pulmonary edema , pleural effusion or pneumothorax .
    OUTPUT:
    
New pacemaker with satisfactory position of leads . No pneumothorax .