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 similar study of ___ . A permanent pacer is identified in left anterior axillary position and seen to be connected to an intracavitary IC device seen to terminate with the electrode in the periphery of the right ventricular cavity . The position of the device is completely unchanged in both frontal and lateral views in comparison with the followup examination at the time of installation . The heart size is at the upper limit of normal variation demonstrating a relative prominence of the left ventricular contour , a finding which in conjunction with the moderately widened and elongated thoracic aorta suggests systemic hypertension . The pulmonary circulation , however , is not congested and there is no evidence of any acute pulmonary infiltrate . Pleural sinuses are free laterally and posteriorly , and no pneumothorax exists in the apical area . Mild degree of degenerative changes is seen in the thoracic spine without evidence of any vertebral body compression .
    OUTPUT:
    
Patient with ICD device , no evidence of pulmonary congestion or acute infiltrate that could explain the patient 's history of three months of cough .