Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Left chest wall AICD is noted with lead tip extending to the region of the right ventricle . Midline sternotomy wires and mediastinal clips are noted . The lungs appear hyperinflated . Upper lung lucency suggests emphysema . Lower lung opacities likely reflect bronchovascular crowding and mild atelectasis . No large effusion or pneumothorax . No convincing signs of congestion or edema . Heart appears mildly enlarged . Bony structures are intact .
    OUTPUT:
    
Hyperinflated lungs with stress shin of emphysema and lower lung atelectasis and bronchovascular crowding . Mild cardiomegaly .