Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In comparison to ___ radiograph , a permanent pacemaker is unchanged in position , with leads terminating in the right atrium and right ventricle . Left subclavian porta catheter terminates in the lower superior vena cava . Cardiomediastinal contours are stable . Poorly defined pulmonary nodules have been more fully evaluated by recent chest CT of ___ the as well as post radiation changes in the left lung in this patient with history of colon cancer in presumed previous left breast cancer . Multiple healed bilateral rib fractures are similar to the prior study .
    OUTPUT:
    
Dual lead pacer as described . Compatibility will be determined by the MRI staff .