Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An LVAD projecting over the upper abdomen is in similar orientation and position ___ . A left pectoral pacemaker with leads terminating in the right atrium and right ventricle is constant . Heart remains normal size . There is no pulmonary edema . The lungs are clear . There is no pleural effusion , pneumothorax or focal airspace consolidation . The mediastinal and hilar structures are unremarkable .
    OUTPUT:
    
Unchanged appearance and orientation of the LVAD .