Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left pectoral dual lead pacemaker is present with tips terminating in the right atrium and right ventricle as expected .
    OUTPUT:
    
The cardiomediastinal and hilar contours are stable . There is no pleural effusion or pneumothorax . The lungs are well - expanded and clear without focal consolidation concerning for pneumonia . Pulmonary vasculature is within normal limits . Post CABG changes are noted . Left pectoral dual lead pacemaker is present with tips terminating in the right atrium and right ventricle as expected .