Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The left chest wall pacemaker has been placed with dual intact leads terminating in the right atrium and near the apex of the right ventricle . The patient is post endovascular aortic valve replacement . The lungs are well expanded . A right lower lung opacity is more prominent than on ___ similar in appearance to ___ . Assessment on lateral view is limited due to arms down positioning . No pleural effusions or pneumothorax .
    OUTPUT:
    
1 . Left chest wall pacemaker with dual intact leads terminating in the right atrium and near the apex of the right ventricle . No pneumothorax or pleural effusion . 2 . Right lower lobe opacity likely due to overlying soft tissue , rather than pneumonia .