Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left - sided pacemaker is seen in place with two pacing leads terminating over the right atrium and proximal right ventricle . No evidence of pacer lead fracture . The lungs are clear . The cardiomediastinal silhouette and hilar contours are normal . The pleural surfaces are normal without effusion or pneumothorax .
    OUTPUT:
    
Appropriate lead placement with no evidence of complication .