Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Dual lead pacemaker is new from the prior exam with left chest wall pacer device and 2 leads extending to the region of the right atrium and right ventricle . Stable focal eventration of the right hemidiaphragm is again seen . Lungs appear hyperinflated . There is no focal consolidation , pleural effusion , or pneumothorax . The cardiomediastinal silhouette is stable with mild cardiomegaly . Imaged osseous structures are intact . No free air below the right hemidiaphragm is seen .
    OUTPUT:
    
No acute intrathoracic process . Interval placement of pacemaker .