Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Permanent pacemaker remains in place in the left anterior chest wall , with a similar imaging appearance of pacing electrodes including extrapericardial patches . Allowing for differences in technique and projection , the appearance of the device is unchanged since ___ . A right PICC remains in place , terminating in the lower superior vena cava . Heart size remains normal , and there is stable tortuosity or mild dilation of the ascending aorta . Lungs are clear except for linear scarring at the left base adjacent to a mildly elevated left hemidiaphragm . Minimal lateral blunting of left costophrenic sulcus favors pleural thickening over small effusion .
    OUTPUT:
    
Stable radiographic appearance of the chest with no findings to account for pacemaker site pain .