Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral images of the chest demonstrate a pacemaker in the left anterior axillary position . Despite the patient 's inability to elevate his arm , there was clear visualization of important structures . There was no pneumothorax or other complications of the procedure . Mild aortic enlargement was visualized . There was no congestive pattern in the pulmonary vessels . There was no pleural effusion . Pacer leads follow the expected course to the left and right ventricles . Visualized osseous structures are unremarkable .
    OUTPUT:
    
Appropriate lead placement status post ICD placement with no pneumothorax or other complications seen .