Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are hyperinflated without focal consolidation . Partially calcified pleural based opacity abutting the left hemidiaphragm is unchanged since ___ . Cardiac silhouette is moderately enlarged . Single lead pacing device is noted with leads at the right ventricular apex . Mid thoracic dextroscoliosis is noted .
    OUTPUT:
    
Hyperinflation and cardiomegaly without superimposed acute cardiopulmonary process .