Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lower lung volumes seen on the current exam with secondary crowding of the bronchovascular markings . There is no confluent consolidation or large effusion . Left chest wall single - lead pacing device is again seen . The cardiomediastinal silhouette is within normal limits . Chronic deformity of the proximal right humerus is again seen . Deformity of the proximal left humerus is age - indeterminate , not definitely present on prior . Lower thoracic / upper lumbar compression deformity is again seen .
    OUTPUT:
    
Low lung volumes without definite acute cardiopulmonary process . Deformity of the proximal left humerus is age - indeterminate and clinical correlation is suggested .