Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest views were obtained with patient in upright position . Analysis is performed in direct comparison with the next preceding PA and lateral chest examination of ___ . Permanent pacer capsule in unchanged position in anterior left axillary region . Unchanged appearance of connecting intracavitary electrodes . The ICD device terminates in unchanged fashion in the right ventricular apical area and the left ventricular stimulating electrode passes again from the right atrium in the venous coronary sinus to terminate in the mid portion of obtuse marginal coronary vein . The positions of the wires remain completely unchanged in comparison with the previous study of ___ . As before , the patient was unable to elevate left arm for the lateral view but image qualities are very acceptable .
    OUTPUT:
    
Unchanged position of previously identified ICD device , in particular unchanged position of left ventricular electrode terminating in obtuse marginal coronary vein position .