FINDINGS:
In comparison with chest radiograph from , there is no relevant
 change.  Left-sided cardiac pacing device with dual leads following their
 expected courses to the right atrium and ventricle.
 There is no focal consolidation, effusion, or pneumothorax.  Mediastinal and
 hilar contours are stable.  Heart size is normal.

IMPRESSION:
Left-sided cardiac pacing device with dual leads following their expected
 courses to the right atrium and ventricle, unchanged since .