Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Dual - lead pacer projects over the left chest wall with lead tips extending to the expected location of the right atrium and right ventricle . Minimal blunting of the left CP angle could indicate a tiny effusion or pleural thickening . There is no pneumothorax . No definite focal opacities or signs of CHF . The heart and mediastinal contours appear normal . No gross osseous injury . There is a vascular stent in the right axilla .
    OUTPUT:
    
No definite signs of acute injury . Minimal blunting at the left CP angle could represent tiny effusion or pleural thickening . If there is strong clinical concern for rib fracture , a dedicated rib series is recommended .