Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left - sided pectoral pacemaker is noted with 2 intact leads terminating within the right atrium and right ventral , respectively . The heart remains severely enlarged , unchanged from the prior examination . Lung volumes are low and there is mild prominence to the central pulmonary vasculature . There is no pleural effusion , pneumothorax , or focal consolidation . A severe vertebral body compression deformity is noted within the mid thoracic spine , unchanged from prior examination .
    OUTPUT:
    
Pacing leads terminating in right atrium and right ventricle with no evidence of pneumothorax . .