Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were provided . The left chest wall pacer device is again seen with leads extending to the region of the right atrium and right ventricle . Lung volumes are low . No focal consolidation , effusion , or pneumothorax is seen . No free air is seen below the right hemidiaphragm . Bony structures appear intact . Bowel loops imaged on the lateral view are gas - filled and dilated loops of small bowel .
    OUTPUT:
    
No evidence of pneumoperitoneum . No acute intrathoracic process .