Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were provided . Left chest wall pacer is again seen with lead tips extending into the expected location of the right atrium and right ventricle . The lungs are clear without focal consolidation , effusion , or pneumothorax . Cardiomediastinal silhouette is normal . Bony structures are intact . Hypertrophic changes at the AC joints are noted bilaterally .
    OUTPUT:
    
No acute findings in the chest .