Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval placement of a left dual lead pacemaker defibrillator with leads terminating in the right atrium and right ventricle . There is no pleural effusion or pneumothorax . There is no pulmonary edema or focal consolidation concerning for pneumonia . Mild cardiomegaly may be exaggerated by low lung volumes . The mediastinal and hilar contours are unremarkable .
    OUTPUT:
    
Satisfactory placement of a dual - lead pacemaker defibrillator with leads terminating in the right atrium and right ventricle . No complications .