Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated with increased interstitial lung markings which are most likely due to worsening pulmonary edema . The tip of a single lead pacer projects of the right ventricle . There is no pneumothorax . The heart appears enlarged despite the projection . There is generalized osteopenia .
    OUTPUT:
    
Hyperinflated lungs with worsening pulmonary edema . Stable cardiomegaly with appropriately positioned pacer wire .