Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were obtained . Dual - lead pacer projects over the left chest wall with pacer leads extending into the expected location of the right atrium and right ventricle . The lungs appear clear bilaterally without focal consolidation , effusion , pneumothorax . The heart and mediastinal silhouette is normal . Bony structures are intact . Clips in the right upper quadrant noted . Degenerative changes and DISH - related changes of the T - spine noted .
    OUTPUT:
    
No acute intrathoracic process .