Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A dual chamber left chest wall ICD pacemaker is present with leads in the right atrium and right ventricle . There is no pleural effusion , pneumothorax or focal consolidation . Clips are present in the bilateral apices with right pleural thickening , likely post surgical in nature . The heart is minimally enlarged . The bones are intact .
    OUTPUT:
    
New ICD pacemaker with leads in the right atrium and right ventricle . No evidence of complication .