Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Transsubclavian atrio-biventricular ICD leads run from the left pectoral power pack with to the right atrial appendage , right ventricular apex and surface of the left ventricle , respectively . The lungs are clear and the pleural surfaces are normal . Heart size is top normal with normal mediastinal contour and hila .
    OUTPUT:
    
Standard courses , new ICD leads . No complications .