Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A new left chest wall dual lead ICD is in place with leads in the expected location of the right atrium and right ventricle . A large hiatus hernia is present . Mild enlargement of the cardiac silhouette is improved compared to the prior study . An eventration in the diaphragm is noted . No focal consolidation , pleural effusion or pneumothorax .
    OUTPUT:
    
ICD with leads in the expected location the right atrium and right ventricle . No pneumothorax .