Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were provided . Epicardial pacing leads are noted . There is no overt CHF , pneumonia , pleural effusion , or pneumothorax . Heart size is top normal . Mediastinal contour is normal . Bony structures are intact .
    OUTPUT:
    
No signs of pneumonia or overt CHF . Top normal heart size .