Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided dual chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle . Mild enlargement of the heart is present . The aorta is diffusely calcified . Mediastinal contours are within normal limits . There is mild pulmonary vascular engorgement without overt pulmonary edema . No focal consolidation , pleural effusion or pneumothorax is identified . No acute osseous abnormalities are seen .
    OUTPUT:
    
No acute traumatic abnormality identified . If there is continued concern for a rib fracture , a dedicated rib series is recommended .