Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were reviewed and compared to the prior study . In the left hemithorax , a dual - chamber pacemaker is seen with leads ending in the right atrium and right ventricle . A right subclavian Port - A - Cath with a tip ending in the mid-to - lower superior vena cava is unchanged . Unchanged asymmetrical left apical pleural thickening extends to the mediastinal surface and is characterized as post-radiation fibrosis the prior CT . Normal heart and lungs with no focal area of consolidation .
    OUTPUT:
    
No radiographic evidence of pneumonia .