Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest ___ at 08 :44 are submitted .
    OUTPUT:
    
A dual lead left - sided pacer remains in place with the leads intact and terminating over the expected location of the right atrium and right ventricle , respectively . Overall cardiac and mediastinal contours are stable . Lungs appear well inflated without evidence of focal airspace consolidation , pleural effusions , pulmonary edema or pneumothorax . Degenerative changes in the thoracic spine .