Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest ___ at 11 : 20 are submitted .
    OUTPUT:
    
Dual lead left - sided pacer remains in place . The lungs appear clear without evidence of focal airspace consolidation , pulmonary edema or pneumothorax . Subcutaneous emphysema in the anterior chest wall in the region of the pacemaker best seen on the lateral projection . Improved aeration at the right base . Trace bilateral pleural effusions .