Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP upright chest radiograph obtained . A dual - lead pacer device is unchanged with leads extending into the right atrium and right ventricular region . The lungs appear clear without focal consolidation , effusion , or pneumothorax . Overall , heart size appears normal . The thoracic aorta appears unfolded . No displaced rib fractures are identified .
    OUTPUT:
    
No traumatic injuries .