Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are relatively hyperinflated . There is no focal consolidation concerning for pneumonia . No pleural effusion or pneumothorax is detected . The pulmonary vasculature is not engorged and there is no overt pulmonary edema . The cardiac silhouette is top normal in size , as before . A left pectoral pacemaker is in place with dual leads terminating in the right atrium and right ventricle . The mediastinal and hilar contours are within normal limits .
    OUTPUT:
    
No focal consolidation concerning for pneumonia .