Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided pacemaker device is noted with lead terminating in the right ventricle . Heart size remains moderately enlarged . The mediastinal and hilar contours are unchanged with tortuosity of the thoracic aorta again noted . Pulmonary vasculature is not engorged . Scarring within the right lung base is re - demonstrated with a right juxtaphrenic peak noted indicative of mild volume loss . Previously demonstrated ground - glass opacities within the left lung , most pronounced in the left upper lobe , as well as multiple pulmonary nodules are better assessed on the prior CT . No focal consolidation , pleural effusion or pneumothorax is seen . There are no acute osseous abnormalities .
    OUTPUT:
    
No focal consolidation to suggest pneumonia .