Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A new left anterior chest wall dual - lead pacemaker defibrillator is present with leads terminating in the right atrium and right ventricle as expected . The cardiomediastinal and hilar contours are normal . There is no pleural effusion or pneumothorax . The lungs are well expanded and clear .
    OUTPUT:
    
Successful placement of pacemaker defibrillator with leads terminating in expected positions . No complications .