Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . Left chest wall pacer device is again seen with pacer leads extending to the region of the right atrium and right ventricle . Overlying EKG leads are present . Low lung volumes limits assessment . Allowing for this , no focal consolidation , large effusion or pneumothorax is seen . Cardiomediastinal silhouette is stable . Bony structures are grossly intact .
    OUTPUT:
    
No acute findings .