Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A newly placed dual - lead left pectoral pacemaker sends leads to the right atrium and right ventricle . There is no pneumothorax . The lungs are clear . The heart and mediastinum are within normal limits . Multilevel spinal degenerative changes are stable .
    OUTPUT:
    
Newly placed left pectoral dual - lead pacemaker sends leads to the right atrium and right ventricle . No pneumothorax . Clear lungs .