Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided demonstrate a dual - lead pacemaker projecting over the left chest wall with leads extending to the region of the right atrium and right ventricle . The lungs appear clear without signs of pneumonia or CHF . A hyperdense nodular structure overlying the left lower lung could represent a calcified granuloma . No effusion or pneumothorax is seen . The cardiomediastinal silhouette is normal . Bony structures are intact . There is no free air below the right hemidiaphragm .
    OUTPUT:
    
No acute findings .