Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left axillary dual lead pacemaker defibrillator is present with leads terminating in the right atrial appendage and distal right ventricle as expected . The cardiomediastinal and hilar contours are normal . There is no pleural effusion or pneumothorax . The lungs are well expanded and clear . Pulmonary vasculature is within normal limits .
    OUTPUT:
    
Left axillary pacemaker leads terminate in the expected positions . No complications .